Organization Active NPI

Daugette Family Health Services, LLC

  • Clinical Social Worker
  • Mobile, AL
National Provider Identifier
1306368055
Registry record updated Jul 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3784C Issued in AL
Legal business name
DAUGETTE FAMILY HEALTH SERVICES, LLC
Practice address
1120 Hillcrest Rd Ste 2G
Mobile, AL 36695-3955
Phone
(251) 635-7878
NPI assigned
Jul 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2017

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

Authorized official

Name
Mrs. Whitney W Daugette, LICSW, PIP
Title
Owner/Sole Proprietor
Phone
(251) 635-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 3784C AL Primary

Addresses

Primary practice location

1120 Hillcrest Rd Ste 2G
Mobile, AL 36695-3955

Mailing address

980 Hamilton Bridges Dr W
Mobile, AL 36695-9650

Other identifiers 1

IdentifierTypeStateIssuer
101I801947MedicaidAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499990400000",
    "number": "1306368055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 HAMILTON BRIDGES DR W",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366959650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 HILLCREST RD STE 2G",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953955",
            "telephone_number": "251-635-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAUGETTE FAMILY HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2017-07-14",
        "status": "A",
        "authorized_official_last_name": "DAUGETTE",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "251-635-7878",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW, PIP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3784C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101I801947",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; 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.