Active NPI
Sheila Helen Demelle, LICSW
- Clinical Social Worker
- Canton, MA
National Provider Identifier
1942533450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1026645
- Practice address
- 1032 Turnpike St
Suite 204
Canton, MA 02021-2865 - Phone
- (617) 462-7283
- NPI assigned
- Sep 15, 2009
- 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 | 1026645 | MA | Primary |
Addresses
Primary practice location
1032 Turnpike St
Suite 204
Canton, MA 02021-2865
Mailing address
1032 Turnpike St
Suite 204
Canton, MA 02021-2865
Phone (617) 462-7283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 1, 2022 through Mar 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290038400000",
"number": "1942533450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 TURNPIKE ST",
"address_2": "SUITE 204",
"city": "CANTON",
"state": "MA",
"postal_code": "020212865",
"telephone_number": "617-462-7283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1032 TURNPIKE ST",
"address_2": "SUITE 204",
"city": "CANTON",
"state": "MA",
"postal_code": "020212865",
"telephone_number": "617-462-7283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMELLE",
"first_name": "SHEILA",
"middle_name": "HELEN",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-15",
"last_updated": "2010-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1026645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.