Jaclyn Boghosian Deangelis, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

122793 Issued in MA

Practice address

62 Derby St Ste 6
Hingham, MA 02043-3718

Phone

(781) 749-9227

NPI assigned

Sep 6, 2016

Last updated

Feb 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Integrative Counseling and Wellness LLC

  • Psychologist
  • Hingham, MA
  • NPI 1881118107

  Mental Health

  NPD
• Vita G Counseling LLC

  • Mental Health Counselor
  • Wellesley, MA
  • NPI 1003626896
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1538616701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 DERBY ST STE 6",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020433718",
            "telephone_number": "781-749-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 DERBY ST STE 6",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020433718",
            "telephone_number": "781-749-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANGELIS",
        "first_name": "JACLYN",
        "middle_name": "BOGHOSIAN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cyrena M Dasilva
• Deborah A Davis
• Yanniet De la Torre, BCBA
• Karen Margaret Deane, R.N,
• Karen Patricia Deane, OT
• Deborah Farber Aprn, P.C.
• Decades Behavioral Health, LLC
• Deerfield Healthcare Corp. (Active Day of Hingham)
• Alexander Defelice, LMHC
• Defiant Health, P.C. (Defiant Health)

• Clinical Social Worker in Hingham, MA
• Providers in Hingham, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.