Individual provider Active NPI

Julie M Paquette, LICSW

  • Clinical Social Worker
  • South Deerfield, MA
National Provider Identifier
1255615308
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
118975 Issued in MA
Practice address
33A Pleasant St
South Deerfield, MA 01373-1069
Phone
(413) 522-5981
NPI assigned
Oct 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 118975 MA
Addiction (Substance Use Disorder) Counselor 101YA0400X LC15482 ME
Psychoanalyst 102L00000X LC15482 ME
Psychoanalyst 102L00000X 118975 MA
Social Worker 104100000X LC15482 ME
Clinical Social Worker 1041C0700X LC15482 ME
Clinical Social Worker 1041C0700X 118975 ME
Clinical Social Worker 1041C0700X 118975 MA Primary

Addresses

Primary practice location

33A Pleasant St
South Deerfield, MA 01373-1069

Mailing address

33A Pleasant St
South Deerfield, MA 01373-1069
Phone (413) 522-5981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151030001104 ME Practitioner - Clinical Social Worker 9436469673 Practice locations: Scarborough, ME
I20210827001792 MA Practitioner - Clinical Social Worker 9436469673 Practice locations: South Deerfield, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

33 A Pleasant St
South Deerfield, MA 01373-1069
Phone (413) 522-5981

620 Raeleen LN
Scarborough, ME 04074-8473
Phone (207) 347-1844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC15482MEMDPsychoanalyst
118975MAMDClinical Social Worker
118975MEMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1255615308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33A PLEASANT ST",
            "city": "SOUTH DEERFIELD",
            "state": "MA",
            "postal_code": "013731069",
            "telephone_number": "413-522-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33A PLEASANT ST",
            "city": "SOUTH DEERFIELD",
            "state": "MA",
            "postal_code": "013731069",
            "telephone_number": "413-522-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAQUETTE",
        "first_name": "JULIE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "118975",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC15482",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "ME",
            "license": "LC15482",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "MA",
            "license": "118975",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "LC15482",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC15482",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "118975",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Deerfield, MA

Sources for this page

Verify at the official NPI Registry.