Christine Degiacomo, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1019415 Issued in MA

Practice address

134 Ansel Hallet Rd
West Yarmouth, MA 02673-2582

Phone

(774) 470-2294

NPI assigned

Aug 27, 2014

Last updated

Aug 27, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1881094779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 ANSEL HALLET RD",
            "city": "WEST YARMOUTH",
            "state": "MA",
            "postal_code": "026732582",
            "telephone_number": "774-470-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 ANSEL HALLET RD",
            "city": "WEST YARMOUTH",
            "state": "MA",
            "postal_code": "026732582",
            "telephone_number": "774-470-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGIACOMO",
        "first_name": "CHRISTINE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1019415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CVS Pharmacy Inc (CVS Pharmacy# 04313)
• Heidi Dahlgren, LMT
• Sharon A Daley, MD
• DBT Skills Center, PC
• Lianne Clarke Debettencourt
• Loraine Beth Dragwo, FNP-BC
• Lisa A Dwyer
• Ellen Carty LLC
• Anne J Farley-Poyant, OD
• Steven M Fine, MD

• Clinical Social Worker in West Yarmouth, MA
• Providers in West Yarmouth, 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 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.