Heather Dubose
Individual provider Active NPI Clinical Social Worker · Raynham, MA
NPI 1265044069 · NPPES record last updated Feb 2, 2026
Key facts
- NPI
- 1265044069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 128192 (MA)
- Practice address
- 329 King Philip Street
Raynham, MA 02767 - Phone
- (781) 603-5528
- NPI assigned
- Aug 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 128192 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 128192 | MA | Yes |
Addresses
Primary practice location
329 King Philip Street
Raynham, MA 02767
Mailing address
329 King Philip Street
Raynham, MA 02767
Phone (781) 603-5528
Other providers in Raynham, MA
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- Margie L Downes
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- Sara M Drouin
- Elizabeth Dudley
- Brittany Lanee Dwyer
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- Eaton Chiropractic Inc
- Darren R Eaton
All providers in Raynham, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 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.