Bronson Destadler, LICSW
NPI 1073514196 · Clinical Social Worker · Newburyport, MA
Bronson Destadler, LICSW is a Clinical Social Worker provider in Newburyport, MA (NPI 1073514196).
Provider details
- NPI number
- 1073514196
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Male
- License
- 106400 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-10
- Last updated
- 2007-07-08
Frequently asked questions
- What is Bronson Destadler's NPI number?
- Bronson Destadler's National Provider Identifier (NPI) is 1073514196, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bronson Destadler's specialty?
- Bronson Destadler is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Bronson Destadler located?
- Bronson Destadler's practice location on file with NPPES is 143 State St, Newburyport, MA 01950-6621.
- What is Bronson Destadler's phone number?
- The practice phone number listed in the NPPES registry for Bronson Destadler is (978) 462-2890.
- Is Bronson Destadler's NPI active?
- Yes — Bronson Destadler's NPI (1073514196) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.