Active NPI
Alisa Delage, LICSW
- Clinical Social Worker
- Hingham, MA
National Provider Identifier
1639818073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 124902
- Practice address
- 99 Derby St Ste 200
Hingham, MA 02043-4216 - Phone
- (508) 203-1727
- NPI assigned
- Jun 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 124902 | MA | Primary |
Addresses
Primary practice location
99 Derby St Ste 200
Hingham, MA 02043-4216
Mailing address
PO Box 835
Brockton, MA 02303-0835
Phone (508) 203-1727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124902 | Other | MA | LICSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124902 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Within, LLC | Clinical | Current | Accepting new patients |
Locations
99 Derby St
Ste 200
Hingham, MA 02043
Phone (617) 356-0803
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Hingham, MA
- NPI 1740062314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1639818073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 835",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023030835",
"telephone_number": "508-203-1727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 DERBY ST STE 200",
"city": "HINGHAM",
"state": "MA",
"postal_code": "020434216",
"telephone_number": "508-203-1727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELAGE",
"first_name": "ALISA",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-02",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "124902",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICSW",
"identifier": "124902",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.