Joseph Anthony Deangelis in Lexington - Clinical
Joseph Anthony Deangelis - NPI 1114995289
Joseph Anthony Deangelis is a Clinical in Lexington, Massachusetts. Joseph Anthony Deangelis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joseph Anthony Deangelis is 1114995289. The last update date is 2015-12-01.
Joseph Anthony Deangelis's current location address is 109 Massachusetts Ave, Lexington, Massachusetts. You can contact this provider via phone number 7818626404 and fax number 7818622390. The mailing address for Joseph Anthony Deangelis is 109 Massachusetts Ave, Lexington, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph Anthony Deangelis |
|---|---|
| Address | 109 Massachusetts Ave, Lexington, Massachusetts |
| Phone Number | 7818626404 |
| Fax Number | 7818622390 |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1114995289 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2015-12-01 |
Provider Mailing Address Detail
| Address | 109 Massachusetts Ave |
|---|---|
| City | Lexington |
| State | Massachusetts (MA) |
| Post Code | 24204001 |
| Phone Number | 7818626404 |
| Fax Number | 7818622390 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1030425 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identification code assigned to Joseph Anthony Deangelis by the Centers for Medicare & Medicaid Services?
The Joseph Anthony Deangelis has been issued the NPI (National Provider Identifier) 1114995289. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Joseph Anthony Deangelis is physically located?
The Joseph Anthony Deangelis is physically situated at the following address: 109 Massachusetts Ave, Lexington, MA, 24204001.
What is the area of specialization for Joseph Anthony Deangelis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Joseph Anthony Deangelis is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date was the 1114995289 assigned to Joseph Anthony Deangelis?
The Joseph Anthony Deangelis was issued its 1114995289 on 2006-03-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Joseph Anthony Deangelis's details last updated?
The information pertaining to the Joseph Anthony Deangelis, including its address, specialty, and other details, was most recently updated on 2015-12-01.