Organization Active NPI

Richard Doucet Licsw LLC

  • Clinical Social Worker
  • Brattleboro, VT
National Provider Identifier
1184090128
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.00674701 Issued in VT
Legal business name
RICHARD DOUCET LICSW LLC
Practice address
36 Park PL Ste 101
Brattleboro, VT 05301-2802
Phone
(802) 246-1221
Fax
(802) 246-1002
NPI assigned
Aug 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Authorized official

Name
Richard Doucet, MSW
Title
Sole Proprietor
Phone
(802) 246-1221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 089.00674701 VT Primary

Addresses

Primary practice location

36 Park PL Ste 101
Brattleboro, VT 05301-2802

Mailing address

36 Park PL Ste 101
Brattleboro, VT 05301-2802
Phone (802) 246-1221

Other identifiers 1

IdentifierTypeStateIssuer
1018900MedicaidVT

National Provider Directory

National Provider Directory

Locations

44 School Street Ext
Bellows Falls, VT 05101
Phone (802) 463-9927

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1184090128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 PARK PL STE 101",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053012802",
            "telephone_number": "802-246-1221",
            "fax_number": "802-246-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 PARK PL STE 101",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053012802",
            "telephone_number": "802-246-1221",
            "fax_number": "802-246-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD DOUCET LICSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "DOUCET",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "802-246-1221",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.00674701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018900",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.