NICOLE ROSE DISTEFANO
NPI 1194556985
Social Worker - Clinical in Marblehead, MA

Active since August 12, 2024
15 HINES CT UNIT 19, MARBLEHEAD, MA 01945(781) 307-7845 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Rose Distefano NPPES

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

NICOLE ROSE DISTEFANO (NPI 1194556985) is an individual clinical provider in Marblehead, Massachusetts, licensed in Massachusetts (127642) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1194556985
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE ROSE DISTEFANO
Location Address15 HINES CT UNIT 19Marblehead, MA 01945-2582
Mailing Address15 Hines Ct Unit 19Marblehead, MA 01945-2582 · (781) 307-7845
Sole ProprietorYes
Enumeration DateAugust 12, 2024
Last NPPES UpdateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
NPI 1194556985 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 · 127642
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.
15 HINES CT UNIT 19, Marblehead, MA 01945

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 Nicole Distefano's NPI number?

The NPI number for Nicole Distefano is 1194556985. It was assigned to this individual provider in the NPPES registry on August 12, 2024.

Where is Nicole Distefano located?

Nicole Distefano practices at 15 Hines Ct Unit 19, Marblehead, MA 01945. The listed phone number is (781) 307-7845.

What is Nicole Distefano'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 Nicole Distefano was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.