Daryl Vo
Individual provider Active NPI Clinical Social Worker · Saugus, MA
NPI 1891407375 · NPPES record last updated Dec 15, 2022
Key facts
- NPI
- 1891407375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 125423 (MA)
- Practice address
- 1715 Broadway
Saugus, MA 01906-4703 - Phone
- (781) 879-7858
- NPI assigned
- Dec 15, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1419 Hancock St
Quincy, MA 02169-5250
99 Morgan St
Randolph, MA 02368-2221
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260505000393 | MA | Practitioner - Clinical Social Worker | 3678041084 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125423 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 125423 | MA | Yes |
Addresses
Primary practice location
1715 Broadway
Saugus, MA 01906-4703
Mailing address
1715 Broadway
Saugus, MA 01906-4703
Phone (781) 879-7858
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | dvo@eliotchs.org | Direct |
Other providers in Saugus, MA
- Isabel Oliveira Ventura
- Rosemarie Grace Verderico
- Cara Vincelette
- Keri Virgin
- Krista Virgin
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- Walgreen Co
- Walgreen Co
- Walgreen Eastern Co Inc
- Walgreens
All providers in Saugus, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.