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General NPI Number Information
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NPI Number | 1851729867
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Entity Type | Individual
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Provider Name | DIANE CLARKE DELEHANTY LICSW
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Gender | Female
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Dates
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Enumeration Date | 10/30/2013
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 13 PACIFIC ST
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City | SOUTH BOSTON
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State | MA
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Zip | 02127-2928
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Country | US
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Telephone | 617-752-1519
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Fax |
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Provider Business Mailing Address
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Address Line | 7 WHITTIER PL STE 108 PMB 352
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City | BOSTON
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State | MA
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Zip | 02114
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Country | US
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Telephone | 617-752-1519
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 122042
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License Number State | MA
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