Individual provider Active NPI

Caroline Abigail Duchin, LICSW

  • Clinical Social Worker
  • Jamaica Plain, MA
National Provider Identifier
1073086112
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
223823 Issued in MA
Practice address
201 S Huntington Ave Unit 712
Jamaica Plain, MA 02130-5274
Phone
(339) 213-4192
NPI assigned
Jan 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 223823 MA Primary

Addresses

Primary practice location

201 S Huntington Ave Unit 712
Jamaica Plain, MA 02130-5274

Mailing address

201 S Huntington Ave Unit 712
Jamaica Plain, MA 02130-5274
Phone (339) 213-4192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
223823MAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1073086112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S HUNTINGTON AVE UNIT 712",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021305274",
            "telephone_number": "339-213-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S HUNTINGTON AVE UNIT 712",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021305274",
            "telephone_number": "339-213-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCHIN",
        "first_name": "CAROLINE",
        "middle_name": "ABIGAIL",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "223823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.