NPPES file of Aug 9, 2026

Bronson Destadler, LICSW

Clinical Social Worker · Newburyport, MA

Bronson Destadler, LICSW is a clinical social worker with a practice address in Newburyport, Massachusetts, and NPI 1073514196, issued on Aug 10, 2005. Check the license (Massachusetts 106400, as entered in NPPES) with the Massachusetts board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1073514196
Name
Bronson Destadler
Credential
LICSW
Primary taxonomy
Clinical Social Worker 1041C0700X
License number
106400 MA
Self-reported in NPPES; status is on the state search
Practice location
143 State St, Newburyport, MA 01950
Phone
(978) 462-2890
Enumerated
Aug 10, 2005
Record last updated
Jul 13, 2026
Fax
(978) 462-2890
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 143 State St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Pamela Amer, LICSWClinical Social Worker1497756530
  2. Robert Amer, LICSWClinical Social Worker1801897954
  3. Maria Beane, LMHCMental Health Counselor1750765970
  4. Zachary Bowen, DMDDentist1669038550
  5. Kelcey Buck, LMFTMarriage & Family Therapist1487145843
  6. Kathleen Destadler, LICSWClinical Social Worker1871594994

Verify Bronson Destadler in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Massachusetts board licenses this profession
    Search for license 106400
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Massachusetts license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bronson Destadler among 17,815 clinical social worker records in Massachusetts

Bronson Destadler, LICSW is one of 17,815 clinical social worker records with a practice address in Massachusetts. 8% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, over 99% newer
  • In a Medicare fileNo · 8% of these records are
  • In the CMS Doctors and Clinicians fileNo · 17% of these records are
  • Record last updated2026 · 68% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Massachusetts practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

73 clinical social worker records list a practice address in Newburyport

They are 73 of the 558 NPPES records with a practice address in Newburyport, and 17,815 clinical social worker records in Massachusetts. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 clinical social worker records with the nearest ZIP codes

  1. Pamela Amer, LICSWNewburyport, MA 019501497756530
  2. Robert Amer, LICSWNewburyport, MA 019501801897954
  3. Kathleen Destadler, LICSWNewburyport, MA 019501871594994
  4. Diane Dubin, LICSWNewburyport, MA 019501407857535
  5. Linda Gerson, MSWNewburyport, MA 019501558468603
  6. Richard Healy, LICSWNewburyport, MA 019501033111935
  7. Barbara KeelerNewburyport, MA 019501134188410
  8. John Malis, MSW, LICSWNewburyport, MA 019501346270196

Common questions

What is Bronson Destadler, LICSW's NPI number?

Bronson Destadler, LICSW's National Provider Identifier (NPI) is 1073514196, issued on Aug 10, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Bronson Destadler, LICSW located?

The NPPES record lists a practice address at 143 State St, Newburyport, MA, 01950. Phone: (978) 462-2890. Providers update this record themselves, so call before visiting.

How can I verify Bronson Destadler, LICSW's license?

NPPES lists Massachusetts license number 106400, as entered by the provider. Search the Massachusetts board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.