Active NPI
Donald Delery, LICSW
- Social Worker
- Methuen, MA
National Provider Identifier
1962982892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 100634
- Practice address
- 100A Haverhill St
Methuen, MA 01844-4251 - Phone
- (978) 682-5276
- NPI assigned
- Aug 20, 2018
- Last updated
- Aug 20, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 100634 | MA | Primary |
Addresses
Primary practice location
100A Haverhill St
Methuen, MA 01844-4251
Mailing address
19 Flat Rock Rd
Windham, NH 03087-1352
Phone (603) 475-2865
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100634 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534723200000",
"number": "1962982892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 FLAT ROCK RD",
"city": "WINDHAM",
"state": "NH",
"postal_code": "030871352",
"telephone_number": "603-475-2865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100A HAVERHILL ST",
"city": "METHUEN",
"state": "MA",
"postal_code": "018444251",
"telephone_number": "978-682-5276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELERY",
"first_name": "DONALD",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-20",
"last_updated": "2018-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "100634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.