Provider Demographics
NPI:1376691535
Name:DEALY ASSOCIATES
Entity Type:Organization
Organization Name:DEALY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:DEALY
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:401-421-0040
Mailing Address - Street 1:95 COLONIAL WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02760-2833
Mailing Address - Country:US
Mailing Address - Phone:508-695-2770
Mailing Address - Fax:508-695-2770
Practice Address - Street 1:95 COLONIAL WAY
Practice Address - Street 2:
Practice Address - City:NORTH ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02760-2833
Practice Address - Country:US
Practice Address - Phone:508-695-2770
Practice Address - Fax:508-695-2770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
344090Medicare UPIN
004692Medicare UPIN
RI1022980Medicare UPIN
MAP10073Medicare UPIN
14715600Medicare UPIN