Individual provider Active NPI

Jeffrey Ogle Duprey, MSW, LICSW, LAC

  • Clinical Social Worker
  • Leeds, MA
National Provider Identifier
1164759783
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
117549 Issued in MA
Practice address
Horizon Building, Building 4L, Sud-C
421 North Main Street
Leeds, MA 01053-9764
Phone
(413) 584-4040
Fax
(413) 582-3137
NPI assigned
Nov 4, 2009
Last updated
May 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 259 KS
Clinical Social Worker 1041C0700X 117549 MA Primary

Addresses

Primary practice location

Horizon Building, Building 4L, Sud-C
421 North Main Street
Leeds, MA 01053-9764

Mailing address

18 Everett Ave
Belchertown, MA 01007-9577
Phone (413) 636-5027

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
117549MAMDClinical Social Worker
259KSMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1164759783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 EVERETT AVE",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010079577",
            "telephone_number": "413-636-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HORIZON BUILDING, BUILDING 4L, SUD-C",
            "address_2": "421 NORTH MAIN STREET",
            "city": "LEEDS",
            "state": "MA",
            "postal_code": "010539764",
            "telephone_number": "413-584-4040",
            "fax_number": "413-582-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPREY",
        "first_name": "JEFFREY",
        "middle_name": "OGLE",
        "name_prefix": "Mr.",
        "credential": "MSW, LICSW, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-04",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "259",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leeds, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.