Active NPI
Heather McDuffus, MSW, LCSW
- Clinical Social Worker
- Lawrence, MA
National Provider Identifier
1497962443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 213688
- Practice address
- 11 Lawrence St
#322
Lawrence, MA 01840-1431 - Phone
- (978) 687-1617
- Fax
- (978) 687-1597
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 213688 | MA | Primary |
Addresses
Primary practice location
11 Lawrence St
#322
Lawrence, MA 01840-1431
Mailing address
2000 Commonwealth Ave
#610
Brighton, MA 02135-5705
Phone (617) 721-0826
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213688 | MA | MD | Neurology with Special Qualifications in Child Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497962443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 COMMONWEALTH AVE",
"address_2": "#610",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021355705",
"telephone_number": "617-721-0826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 LAWRENCE ST",
"address_2": "#322",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018401431",
"telephone_number": "978-687-1617",
"fax_number": "978-687-1597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDUFFUS",
"first_name": "HEATHER",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "213688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.