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Provider Profile

Bronson Destadler, LICSW

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At a glance

About Bronson Destadler

Listed in the NPI registry as a clinical social worker, Bronson Destadler, LICSW practices in Newburyport, MA. NPI 1073514196 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

MA licenceAs reported to the NPI registry
No. 106400As reported
NPINational Provider Identifier
1073514196Issued 2005

As reported to the NPI registry ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Bronson Destadler specialize in?

Bronson Destadler is a clinical social worker in Newburyport, MA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Bronson Destadler located?

Bronson Destadler is listed at 143 State St, Newburyport, MA 01950. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Bronson Destadler's phone number?

The number on file is (978) 462-2890. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Bronson Destadler's NPI number?

Bronson Destadler's National Provider Identifier is 1073514196. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Bronson Destadler been practicing?

Bronson Destadler has 21+ years experience. Registered with an NPI since 2005. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Bronson Destadler confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Bronson Destadler. If this is you, claiming it is free.

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