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Dennis Preston Pardo, LICSW

Social Worker, Clinical in Boston, MA. Individual provider (NPI-1).

NPI number1396315768
StatusActive
Last updated in NPPESJun 29, 2021

Details

NPI
1396315768
Entity type
Individual (NPI-1)
Name
Dennis Preston Pardo
Credential
LICSW
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 29, 2021
Certification date
Jun 29, 2021
Last updated
Jun 29, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical123708MAYes

Practice location

70 W Rutland Sq Apt 4
Boston, MA 02118-3041

Phone 617-645-1822

Mailing address

70 W Rutland Sq Apt 4
Boston, MA 02118-3041

Phone 617-645-1822

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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