Active NPIIndividual provider

Adeline Dettor, LICSW

Social Worker in Wenham, Massachusetts

NPI Number1558920322
Practice location
225 Main St Ste 4, Wenham, MA 01984-1459
Fax
—
Last updated
June 29, 2022

Adeline Dettor is a Social Worker based in Wenham, MA. Adeline Dettor practices in Wenham, MA and has the professional credentials of LICSW. The NPI Number for Adeline Dettor is 1558920322. The current practice location address for Adeline Dettor is 225 Main St Ste 4, Wenham, MA 01984-1459 and can be reached out via phone at 978-307-2010.

Provider Profile Details

NPI Number
1558920322
Provider Name
Adeline Dettor
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
225 Main St Ste 4, Wenham, MA 01984-1459
Phone Number
978-307-2010
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
June 6, 2019
Last Update Date
June 29, 2022
Certification Date
June 29, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
225 Main St Ste 4
Wenham, MA 01984-1459
City
Wenham
Zip
01984-1459
Phone Number
978-307-2010
Wenham, MA 01984Get directions →

Provider Business Mailing Address Details

Address
225 Main St Ste 4
Wenham, MA 01984-1459
City
Wenham
State
MA
Zip
01984-1459

License Information

Taxonomy
Social Worker · 104100000X · 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 Adeline Dettor, LICSW?

The NPI number of Adeline Dettor, LICSW is 1558920322. It was assigned on June 6, 2019 and is currently active in the NPPES registry.

What is the specialty of Adeline Dettor, LICSW?

Adeline Dettor, LICSW is registered under the primary taxonomy Social Worker (code 104100000X).

Where does Adeline Dettor, LICSW practice?

The practice location is 225 Main St Ste 4, Wenham, MA 01984-1459. The office can be reached at 978-307-2010 (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 1558920322 directly on the NPPES registry website.

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