Healthcare Provider Details

I. General information

NPI: 1588531628
Provider Name (Legal Business Name): ATHENA N. DEBRITO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 PURCHASE ST., NEW BEDFORD, MA 02740
NEW MA
02740
US

IV. Provider business mailing address

298 HAWTHORN ST
NEW BEDFORD MA
02740-2374
US

V. Phone/Fax

Practice location:
  • Phone: 508-997-6300
  • Fax: 508-997-6300
Mailing address:
  • Phone: 508-982-1268
  • Fax: 508-997-1222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLCSW231070
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: