Active NPIIndividual providerSole proprietor

Jaclyn B Deangelis, LICSW

Social Worker, Clinical in Hingham, Massachusetts

NPI Number1538616701
Practice location
62 Derby St Ste 6, Hingham, MA 02043-3718
Fax
—
Last updated
February 8, 2021

Jaclyn Boghosian Deangelis is a Social Worker, Clinical based in Hingham, MA. Jaclyn Boghosian Deangelis practices in Hingham, MA and has the professional credentials of LICSW. The NPI Number for Jaclyn Boghosian Deangelis is 1538616701 and holds a License No. 122793 (MA). The current practice location address for Jaclyn Boghosian Deangelis is 62 Derby St Ste 6, Hingham, MA 02043-3718 and can be reached out via phone at 781-749-9227.

Provider Profile Details

NPI Number
1538616701
Provider Name
Jaclyn Boghosian Deangelis
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
62 Derby St Ste 6, Hingham, MA 02043-3718
Phone Number
781-749-9227
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 6, 2016
Last Update Date
February 8, 2021
Certification Date
February 8, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
62 Derby St Ste 6
Hingham, MA 02043-3718
Zip
02043-3718
Phone Number
781-749-9227
Hingham, MA 02043Get directions →

Provider Business Mailing Address Details

Address
62 Derby St Ste 6
Hingham, MA 02043-3718
City
Hingham
State
MA
Zip
02043-3718
Phone Number
781-749-9227

License Information

Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
122793
License State (2)
MA
Taxonomy (2)
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 Jaclyn B Deangelis, LICSW?

The NPI number of Jaclyn B Deangelis, LICSW is 1538616701. It was assigned on September 6, 2016 and is currently active in the NPPES registry.

What is the specialty of Jaclyn B Deangelis, LICSW?

Jaclyn B Deangelis, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 122793.

Where does Jaclyn B Deangelis, LICSW practice?

The practice location is 62 Derby St Ste 6, Hingham, MA 02043-3718. The office can be reached at 781-749-9227 (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 1538616701 directly on the NPPES registry website.

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