BRONSON DESTADLER LICSW
NPI 1073514196
Social Worker - Clinical in Newburyport, MA
About Bronson Destadler Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRONSON DESTADLER LICSW (NPI 1073514196) is an individual clinical provider in Newburyport, Massachusetts, licensed in Massachusetts (106400) and active in the NPI registry since August 2005.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWBURYPORT, MA 01950
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bronson Destadler's NPI number?
The NPI number for Bronson Destadler is 1073514196. It was assigned to this individual provider in the NPPES registry on August 10, 2005.
Where is Bronson Destadler located?
Bronson Destadler practices at 143 State St, Newburyport, MA 01950. The listed phone number is (978) 462-2890.
What is Bronson Destadler's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
When was this NPI record last updated?
The NPPES record for Bronson Destadler was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.