Individual provider Active NPI

Deborah Druar, LICSW

  • Clinical Social Worker
  • Foxboro, MA
National Provider Identifier
1518270255
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
30 Mechanic St Ste 2
Foxboro, MA 02035-4021
Phone
(508) 543-2133
Fax
(774) 215-5541
NPI assigned
Jul 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MA Primary

Addresses

Primary practice location

30 Mechanic St Ste 2
Foxboro, MA 02035-4021

Mailing address

30 Mechanic St Ste 2
Foxboro, MA 02035-4021
Phone (508) 543-2133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210105000065 MA Practitioner - Clinical Social Worker 4587077938 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kerzner Associates PC Clinical CurrentSince Dec 10, 2020 Accepting new patients

Locations

30 Mechanic St
Ste 2
Foxborough, MA 02035
Phone (508) 543-2133

30 Mechanic St
Foxborough, MA 02035
Phone (508) 543-2133

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1518270255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MECHANIC ST STE 2",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020354021",
            "telephone_number": "508-543-2133",
            "fax_number": "774-215-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MECHANIC ST STE 2",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020354021",
            "telephone_number": "508-543-2133",
            "fax_number": "774-215-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUAR",
        "first_name": "DEBORAH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foxboro, MA

Sources for this page

Verify at the official NPI Registry.