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NICOLE MARIE DESTEFANO
NPI 1881307668
Counselor - Mental Health in Worcester, MA

Active since December 27, 2022
135 GOLD STAR BLVD, WORCESTER, MA 01606(508) 459-6400 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Marie Destefano NPPES

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

NICOLE MARIE DESTEFANO (NPI 1881307668) is an individual mental health provider in Worcester, Massachusetts and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1881307668
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE MARIE DESTEFANO
Location Address135 GOLD STAR BLVDWorcester, MA 01606-2738
Mailing Address5 Keene StNorth Smithfield, RI 02896-8145 · (401) 368-4838
Phone(508) 459-6400
Sole ProprietorNo
Enumeration DateDecember 27, 2022
NPPES CertifiedDecember 27, 2022
✔ NPI 1881307668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X
135 GOLD STAR BLVD, Worcester, MA 01606
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Other Providers at the Same Location NPPES 20

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

CHRISTINA BRETON LMHC
Counselor (Mental Health)
135 GOLD STAR BLVD
WORCESTER, MA 01606
Worcester County (774) 433-5421
TASHIANI RENEE' FORMAN
Social Worker (School)
135 GOLD STAR BLVD
WORCESTER, MA 01606
Worcester County (855) 496-8462
ELIZABETH SANCHEZ
Student in an Organized Health Care Education/Training Program
135 GOLD STAR BLVD
WORCESTER, MA 01606
Worcester County (508) 277-5916
TIMOTHY RYAN
Counselor (Mental Health)
135 GOLD STAR BLVD
WORCESTER, MA 01606
Worcester County (774) 433-5452
SARAH MPELKAS
Counselor
135 GOLD STAR BLVD
WORCESTER, MA 01606
Worcester County (508) 459-6400
LORI BRAZELL MSED
Social Worker (Clinical)
135 GOLD STAR BLVD
WORCESTER, MA 01606
Worcester County (508) 318-9025
BRIANNAH M. MOSHER DPT
Physical Therapist
135 GOLD STAR BLVD
WORCESTER, MA 01606
Worcester County (508) 856-9510
DEVON RENFRO LMHC
Counselor (Mental Health)
135 GOLD STAR BLVD
WORCESTER, MA 01606
Worcester County (508) 459-6420

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 Destefano's NPI number?

The NPI number for Nicole Destefano is 1881307668. It was assigned to this individual provider in the NPPES registry on December 27, 2022.

Where is Nicole Destefano located?

Nicole Destefano practices at 135 Gold Star Blvd, Worcester, MA 01606. The listed phone number is (508) 459-6400.

What is Nicole Destefano's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Nicole Destefano was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.