Individual provider Active NPI

Lucinda Margaret Dubois, LCSW, LADC

  • Counselor
  • Shelton, CT
National Provider Identifier
1215460472
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
12 Nichols Ave
Shelton, CT 06484-5820
Phone
(203) 556-6627
NPI assigned
Apr 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

12 Nichols Ave
Shelton, CT 06484-5820

Mailing address

12 Nichols Ave
Shelton, CT 06484-5820
Phone (203) 556-6627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20190422002092 CT Practitioner - Clinical Social Worker 7618219791 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Liberation Programs IncGroup PAC ID 8729413604, 11 clinicians

Practice addresses (Care Compare)

18 Huntington PLZ
Shelton, CT 06484-5211
Phone (203) 556-6627

392 Long Ridge Rd
Stamford, CT 06902-1630
Phone (203) 356-1980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001299CTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Liberation Programs Inc CurrentSince Dec 6, 2021 Accepting new patients
Cindi Dubois, LCSW, LLC CurrentSince Sep 21, 2024 Accepting new patients
Liberation Programs Inc Current Accepting new patients
Cfsatc, Inc. Past Accepting new patients

Locations

339 West Ave
Bridgeport, CT 06604

18 Huntington Plz
Shelton, CT 06484
Phone (203) 556-6627

125 Main St
Stamford, CT 06901
Phone (203) 391-7906

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1215460472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 NICHOLS AVE",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064845820",
            "telephone_number": "203-556-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 NICHOLS AVE",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064845820",
            "telephone_number": "203-556-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "LUCINDA",
        "middle_name": "MARGARET",
        "credential": "LCSW, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.