Active NPIIndividual providerSole proprietor

Ms. Deborah O Clendaniel, LICSW

Social Worker, Clinical in Lexington, Massachusetts

NPI Number1144387564
Practice location
1666 Massachusetts Ave, Lexington, MA 02420-5317
Fax
—
Last updated
July 8, 2007

Deborah Olds Clendaniel is a Social Worker, Clinical based in Lexington, MA. Deborah Olds Clendaniel practices in Lexington, MA and has the professional credentials of LICSW. The NPI Number for Deborah Olds Clendaniel is 1144387564 and holds a License No. 110820 (MA). The current practice location address for Deborah Olds Clendaniel is 1666 Massachusetts Ave, Lexington, MA 02420-5317 and can be reached out via phone at 781-863-1124.

Provider Profile Details

NPI Number
1144387564
Provider Name
Deborah Olds Clendaniel
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
1666 Massachusetts Ave, Lexington, MA 02420-5317
Phone Number
781-863-1124
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 3, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1666 Massachusetts Ave
Lexington, MA 02420-5317
Zip
02420-5317
Phone Number
781-863-1124
Lexington, MA 02420Get directions →

Provider Business Mailing Address Details

Address
55 Alcott RD
Concord, MA 01742-2642
City
Concord
State
MA
Zip
01742-2642
Phone Number
781-863-1124

License Information

License Number
110820
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Deborah O Clendaniel, LICSW?

The NPI number of Ms. Deborah O Clendaniel, LICSW is 1144387564. It was assigned on January 3, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Deborah O Clendaniel, LICSW?

Ms. Deborah O Clendaniel, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 110820.

Where does Ms. Deborah O Clendaniel, LICSW practice?

The practice location is 1666 Massachusetts Ave, Lexington, MA 02420-5317. The office can be reached at 781-863-1124 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144387564 directly on the NPPES registry website.

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