MEDICARE: DEALY ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1376691535
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEALY ASSOCIATES

Provider Business Mailing Address
First Line	:	95 COLONIAL WAY
Second Line	:
City	:	NORTH ATTLEBORO
State	:	MA
Zip	:	02760-2833
Country	:	US
Telephone Number	:	508-695-2770
Fax Number	:	508-695-2770

Provider Business Practice Location Address
First Line	:	95 COLONIAL WAY
Second Line	:
City	:	NORTH ATTLEBORO
State	:	MA
Zip	:	02760-2833
Country	:	US
Telephone Number	:	508-695-2770
Fax Number	:	508-695-2770

Authorized Official
Title or Position	:	PARTNER
Name	:	KEVIN JOHN DEALY
Credential	:	LICSW
Telephone Number	:	401-421-0040

Provider Enumeration Date	:	01/06/2007
Last Update Date	:	08/22/2020

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