Debbie Kay Duquette, LICSW
Individual provider Active NPI Clinical Social Worker · Madison, AL
NPI 1073552089 · NPPES record last updated May 9, 2023
Key facts
- NPI
- 1073552089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1626C (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230731000199 | AL | Practitioner - Clinical Social Worker | 5597717827 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7502 | TN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peaceful Pathways LLC | Clinical | Current | Accepting new patients |
| Lighthouse Clinical Social Work, LLC | Clinical | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1626C | AL | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51527591 | Other | AL | FED BCBS |
| 51526789 | Other | AL | BCBS |
Other providers in Madison, AL
- Rose Elaine Dunaway
- Anne Duncan
- Charlotte Juanita Dunlap
- Aurora Acosta Dunn
- Amanda Duquette
- Duratech Medical, Inc.
- Angela Pruitt Durham
- James Russell Durham
- Bethany Dussor
- Jennifer Cook Duster
All providers in Madison, AL · Clinical Social Worker in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.