Joseph Deangelis Licsw LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1030425 Issued in MA

Legal business name

JOSEPH DEANGELIS LICSW LLC

Practice address

1565 Main St
BLDG 2, Suite 200
Tewksbury, MA 01876-2085

Phone

(978) 851-4468

Fax

(978) 851-5561

NPI assigned

Jun 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Anthony Deangelis, LICSWNPI 1114995289

Title

Owner

Phone

(978) 851-4468

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Anthony Deangelis, LICSW

  • Clinical Social Worker
  • Lexington, MA
  • NPI 1114995289
  NPD (past) Authorized official
• Patricia Ann Beech Criste, PH.D.

  • Mental Health Counselor
  • Tewksbury, MA
  • NPI 1699813220
  NPD (past)
• Susan B Stason, LICSW

  • Social Worker
  • Tewksbury, MA
  • NPI 1992895767
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760686596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 MAIN ST",
            "address_2": "BLDG 2, SUITE 200",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018762085",
            "telephone_number": "978-851-4468",
            "fax_number": "978-851-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 MAIN ST",
            "address_2": "BLDG 2, SUITE 200",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018762085",
            "telephone_number": "978-851-4468",
            "fax_number": "978-851-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH DEANGELIS LICSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEANGELIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-851-4468",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1030425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John H. Heckler, P.C.
• John L Guerin D.M.D PC
• Dorothea M. Johnson, P.T.A.
• Heather A Jones Millette
• Aruna Lakshmi Jonnalagadda, DMD
• Justice Resource Institute, Inc (Centerpoint IRTP)
• Kang Enterprises LLC (Elements Therapeutic Massage Tewksbury)
• George Karanja, PMHNP-BC
• Robert A Karr, M.D.
• Elesh Kasana, PHARMD

• Clinical Social Worker in Tewksbury, MA
• Providers in Tewksbury, 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 Aug 22, 2020; 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.