George John Duhaime, J.D., L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

002859 Issued in CT

Practice address

263 Randall Rd
Lebanon, CT 06249-2628

Phone

(860) 608-7494

Fax

(860) 889-6206

NPI assigned

Oct 31, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Juris Doctor

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1346526704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 RANDALL RD",
            "city": "LEBANON",
            "state": "CT",
            "postal_code": "062492628",
            "telephone_number": "860-608-7494",
            "fax_number": "860-889-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 RANDALL RD",
            "city": "LEBANON",
            "state": "CT",
            "postal_code": "062492628",
            "telephone_number": "860-608-7494",
            "fax_number": "860-889-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUHAIME",
        "first_name": "GEORGE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "J.D., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Lebanon, CT
• Providers in Lebanon, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.