| Joseph Deangelis Licsw Llc | |
|
1565 Main St Bldg 2, Suite 200 Tewksbury MA 01876-2085 | |
| (978) 851-4468 | |
| (978) 851-5561 |
| Full Name | Joseph Deangelis Licsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1565 Main St, Tewksbury, Massachusetts |
| Authorized Official Name and Position | Joseph Anthony Deangelis (OWNER) |
| Authorized Official Contact | 9788514468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Deangelis Licsw Llc 1565 Main St Bldg 2, Suite 200 Tewksbury MA 01876-2085 Ph: (978) 851-4468 | Joseph Deangelis Licsw Llc 1565 Main St Bldg 2, Suite 200 Tewksbury MA 01876-2085 Ph: (978) 851-4468 |
| NPI Number | 1760686596 |
|---|---|
| Provider Enumeration Date | 06/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760686596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1030425 (Massachusetts) | Primary |
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