MR. JOSEPH ANTHONY DEANGELIS LICSW
NPI 1114995289
Social Worker - Clinical in Lexington, MA

Active since March 14, 2006Opted out of Medicare · through Apr 9, 2028
109 MASSACHUSETTS AVE, LEXINGTON, MA 02420(781) 862-6404(781) 862-2390 Get Directions Write a Review

NPPES record last updated: December 1, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Joseph Anthony Deangelis Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOSEPH ANTHONY DEANGELIS LICSW (NPI 1114995289) is an individual clinical provider in Lexington, Massachusetts, licensed in Massachusetts (1030425) and active in the NPI registry since March 2006. He has opted out of Medicare through April 9, 2028.

NPPES Registry Identity

NPI1114995289
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JOSEPH ANTHONY DEANGELISCredential: LICSW
Location Address109 MASSACHUSETTS AVELexington, MA 02420-4001
Mailing Address109 Massachusetts AveLexington, MA 02420-4001 · (781) 862-6404 · Fax (781) 862-2390
Fax(781) 862-2390
Sole ProprietorYes
Enumeration DateMarch 14, 2006
Last NPPES UpdateDecember 1, 2015
NPI 1114995289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MA · 1030425
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
109 MASSACHUSETTS AVE, Lexington, MA 02420

Other Identifiers 1

Medicare UPINP2215101MA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mr. Joseph Anthony Deangelis Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 9, 2024 through April 9, 2028.

Opt-Out Effective DateApril 9, 2024
Opt-Out In Effect ThroughApril 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Joseph Deangelis's NPI number?

The NPI number for Joseph Deangelis is 1114995289. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Joseph Deangelis located?

Joseph Deangelis practices at 109 Massachusetts Ave, Lexington, MA 02420. The listed phone number is (781) 862-6404.

What is Joseph Deangelis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Joseph Deangelis enrolled in Medicare?

No. Joseph Deangelis has opted out of Medicare through April 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Joseph Deangelis was last updated on December 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.