Individual provider Active NPI

Debbie Kay Duquette, LICSW

  • Clinical Social Worker
  • Madison, AL
National Provider Identifier
1073552089
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1626C Issued in AL
Practice address
120 W Dublin Dr Ste 202
Madison, AL 35758-3157
Phone
(256) 929-5507
Fax
(888) 440-7284
NPI assigned
Jun 5, 2006
Last updated
May 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2023

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 1626C AL Primary

Addresses

Primary practice location

120 W Dublin Dr Ste 202
Madison, AL 35758-3157

Mailing address

120 W Dublin Dr Ste 202
Madison, AL 35758-3157
Phone (256) 929-5507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230731000199 AL Practitioner - Clinical Social Worker 5597717827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 W Dublin Dr
Suite 202
Madison, AL 35758-3157
Phone (256) 929-5507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7502TNMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Pathways LLC Clinical Current Accepting new patients
Lighthouse Clinical Social Work, LLC Clinical CurrentSince Feb 6, 2023 Accepting new patients

Locations

120 W Dublin Dr
Ste 202
Madison, AL 35758
Phone (256) 929-5507

1643 Slaughter Rd
Madison, AL 35758
Phone (256) 895-8148

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1073552089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W DUBLIN DR STE 202",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583157",
            "telephone_number": "256-929-5507",
            "fax_number": "888-440-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W DUBLIN DR STE 202",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583157",
            "telephone_number": "256-929-5507",
            "fax_number": "888-440-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUQUETTE",
        "first_name": "DEBBIE",
        "middle_name": "KAY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1626C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.