Katherine Dubois, LCSW (DE) LICSW (MA)
Individual provider Active NPI Clinical Social Worker · Talleyville, DE
NPI 1215535158 · NPPES record last updated May 31, 2026
Key facts
- NPI
- 1215535158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- Q1-0012305 (DE)
- Practice address
- 19 Brandywine Blvd
Talleyville, DE 19803-1838 - Phone
- (207) 239-1480
- NPI assigned
- Oct 13, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q1-0012305 | DE | MD | Clinical Social Worker |
| 123791 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Fully Lived, LLC | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 123791 | MA | |
| Clinical Social Worker | 1041C0700X | Q1-0012305 | DE | Yes |
Addresses
Primary practice location
19 Brandywine Blvd
Talleyville, DE 19803-1838
Mailing address
19 Brandywine Blvd
Talleyville, DE 19803-1838
Phone (207) 239-1480
Other providers in Talleyville, DE
- Tarryn T Alston
- Katharine Bernstein
- Bio-Medical Applications of Delaware, Inc.
- Skyler Della Fave
- Megan Leigh Doyle
- Kyle James Hughes
- KWB Counseling, LLC
- Life Fully Lived, LLC
- Katherine Lusky
- Marathon Physical Therapy LLC
All providers in Talleyville, DE · Clinical Social Worker in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.