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ADELINE DETTOR LICSW
NPI 1558920322
Social Worker in Wenham, MA

Active since June 06, 2019Opted out of Medicare · through Oct 5, 2026
225 MAIN ST STE 4, WENHAM, MA 01984(978) 307-2010 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 8, 2021, Jun 6, 2019 (2 updates tracked since 2019).

About Adeline Dettor Licsw NPPES

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

ADELINE DETTOR LICSW (NPI 1558920322) is an individual social worker in Wenham, Massachusetts and active in the NPI registry since June 2019. She has opted out of Medicare through October 5, 2026.

NPPES Registry Identity

NPI1558920322
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameADELINE DETTORCredential: LICSW
Location Address225 MAIN ST STE 4Wenham, MA 01984-1459
Mailing Address225 Main St Ste 4Wenham, MA 01984-1459
Phone(978) 307-2010
Sole ProprietorNo
Enumeration DateJune 6, 2019
Last NPPES UpdateJune 29, 20222 updates tracked since enumeration
NPPES CertifiedJune 29, 2022
✔ NPI 1558920322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
225 MAIN ST STE 4, Wenham, MA 01984
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Adeline Dettor 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 October 5, 2024 through October 5, 2026.

Opt-Out Effective DateOctober 5, 2024
Opt-Out In Effect ThroughOctober 5, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

1A WELLNESS, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
225 MAIN ST STE 4
WENHAM, MA 01984
Essex County (617) 817-5237

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 Adeline Dettor's NPI number?

The NPI number for Adeline Dettor is 1558920322. It was assigned to this individual provider in the NPPES registry on June 6, 2019.

Where is Adeline Dettor located?

Adeline Dettor practices at 225 Main St Ste 4, Wenham, MA 01984. The listed phone number is (978) 307-2010.

What is Adeline Dettor's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Adeline Dettor enrolled in Medicare?

No. Adeline Dettor has opted out of Medicare through October 5, 2026. 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 Adeline Dettor was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.