Provider Demographics
NPI:1013089465
Name:DELL'ORFANO, WILLIAM JOHN (MSW)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:JOHN
Last Name:DELL'ORFANO
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 CRYSTAL ST
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-2706
Mailing Address - Country:US
Mailing Address - Phone:781-665-6604
Mailing Address - Fax:781-662-7604
Practice Address - Street 1:22 CRYSTAL ST
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-2706
Practice Address - Country:US
Practice Address - Phone:781-665-6604
Practice Address - Fax:781-662-7604
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10166531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA121477OtherVALUE OPTIONS
MAP05023OtherBLUE CROSS BLUE SHIELD
MA3457-01OtherPACIFIC BEHAVIORAL HEALTH
MA3457-01OtherHARVARD PILGRIM
MA2459628OtherAETNA
MAP05023OtherBLUE CROSS BLUE SHIELD