Maxwell Alexander Duquette

Primary specialty

Social WorkerTaxonomy code 104100000X

License

097.0134809 Issued in VT

Practice address

53 Old Farm Rd
Stowe, VT 05672-4434

Phone

(802) 373-2909

NPI assigned

Jul 28, 2020

Last updated

Jul 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

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

• Aspect Counseling Group, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waterbury Center, VT
  • NPI 1609646736
  NPD Authorized official

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1568071322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 SPRUCE HAVEN RD",
            "city": "WATERBURY CENTER",
            "state": "VT",
            "postal_code": "056778065",
            "telephone_number": "802-585-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 OLD FARM RD",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "056724434",
            "telephone_number": "802-373-2909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "539 Spruce Haven Rd",
            "address_purpose": "LOCATION",
            "city": "Waterbury Center",
            "state": "VT",
            "postal_code": "056778065",
            "country_code": "US",
            "telephone_number": "802-585-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUQUETTE",
        "first_name": "MAXWELL",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VT",
            "license": "097.0134809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joya Davidson
• Laura Demarse, PHARMD
• Kathleen Mary Doehla, M.S. P.T.
• Dr. Robert C. Bauman, PLLC
• Isabel Echarte Drekter
• Kaleah Duval, ND
• Jennifer Echarte, LCMHC
• Jane Emery Eliasson, PT
• Fletcher Allen Health Care,Inc (The Eye Center Stowe)
• Dominic Foti, LCMHC

• Social Worker in Stowe, VT
• Providers in Stowe, VT by specialty
• Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.