Tracy A Deleskey, LICSW
Individual provider Active NPI Clinical Social Worker · Foxboro, MA
NPI 1942534003 · NPPES record last updated Sep 22, 2009
Key facts
- NPI
- 1942534003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 113904 (MA)
- Practice address
- 11 Bird St
Foxboro, MA 02035-2338 - Phone
- (508) 543-8888
- Fax
- (508) 543-3692
- NPI assigned
- Sep 22, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Atrius Health Inc
Practice addresses (Care Compare)
1250 Hancock St
Quincy, MA 02169-4339
Phone (617) 740-0600
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 |
|---|---|---|---|---|
| I20091106000442 | MA | Practitioner - Clinical Social Worker | 9931247277 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113904 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Clinical | Current | Accepting new patients |
| Atrius Health, Inc. | Current |
Accepting new patients | |
| Atrius Health, Inc. | Current |
Accepting new patients | |
| Neponset Valley Counseling Center | Clinical | Past | Accepting new patients |
Locations
147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
1250 Hancock St
Quincy, MA 02169
Phone (617) 774-0600
Interoperability endpoints
- tdeleskeylicsw331888@direct.atrius.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 113904 | MA | Yes |
Addresses
Primary practice location
11 Bird St
Foxboro, MA 02035-2338
Mailing address
PO Box 9135
Foxboro, MA 02035-9135
Phone (508) 543-8888
Other providers in Foxboro, MA
- Dcovery Bodyworks
- Jessica Dealmeida
- Charles Albert Dean
- Nancy Lynn Decarr
- Jennifer Lynn Deiana
- Nancy Jean Delgiudice
- Maegan E Dellay
- Synthia Linda Delvecchio
- Audrey L Doogan
- Doolittle Home Inc.
All providers in Foxboro, 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 Sep 22, 2009. 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.