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GERARD DISTEFANO
NPI 1144646795
Counselor in Charlestown, MA

Active since March 06, 2014
529 MAIN ST STE 100, CHARLESTOWN, MA 02129(857) 998-1012 Get Directions Write a Review

NPPES record last updated: March 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gerard Distefano NPPES

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

GERARD DISTEFANO (NPI 1144646795) is an individual counselor in Charlestown, Massachusetts and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1144646795
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameGERARD DISTEFANO
Location Address529 MAIN ST STE 100Charlestown, MA 02129-1119
Mailing Address529 Main St Ste 100Charlestown, MA 02129-1119
Phone(857) 998-1012
Sole ProprietorNo
Enumeration DateMarch 6, 2014
✔ NPI 1144646795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
529 MAIN ST STE 100, Charlestown, MA 02129
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAITLIN BRYANT LICSW
Social Worker (Clinical)
529 MAIN ST STE 100
BOSTON, MA 02129
Suffolk County (857) 209-6707
MS. SHANNON CHRISTINE SECRIST LICSW
Social Worker (Clinical)
529 MAIN ST STE 100
CHARLESTOWN, MA 02129
Suffolk County (617) 756-2151
SILVIA RAMIREZ
Counselor
529 MAIN ST STE 100
CHARLESTOWN, MA 02129
Suffolk County (857) 998-8050
ANGELA MORRIS
Counselor
529 MAIN ST STE 100
CHARLESTOWN, MA 02129
Suffolk County (857) 209-6175
MICHAEL LARA
Social Worker
529 MAIN ST STE 100
CHARLESTOWN, MA 02129
Suffolk County (617) 864-8140
SAM RAPPAPORT
Social Worker
529 MAIN ST STE 100
CHARLESTOWN, MA 02129
Suffolk County (617) 864-8140
NEIL PETERSON
Case Manager/Care Coordinator
529 MAIN ST STE 100
CHARLESTOWN, MA 02129
Suffolk County (617) 864-8140

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 Gerard Distefano's NPI number?

The NPI number for Gerard Distefano is 1144646795. It was assigned to this individual provider in the NPPES registry on March 6, 2014.

Where is Gerard Distefano located?

Gerard Distefano practices at 529 Main St Ste 100, Charlestown, MA 02129. The listed phone number is (857) 998-1012.

What is Gerard Distefano's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Gerard Distefano was last updated on March 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.