Active NPI
Lighthouse Clinical Social Work, LLC
Doing business as Lighthouse Clinical Social Work
- Clinical Social Worker
- Madison, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LIGHTHOUSE CLINICAL SOCIAL WORK, LLC
- Doing business as
- Lighthouse Clinical Social Work
- Practice address
- 120 W Dublin Dr Ste 202
Madison, AL 35758-3157 - Phone
- (256) 929-5507
- Fax
- (888) 440-7284
- NPI assigned
- Mar 21, 2018
- Last updated
- May 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debbie Kay Duquette, L.I.C.S.W., P.I.P.
- Title
- Owner/Psychotherapist
- Phone
- (256) 929-5507
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | 1626 | AL |
Addresses
Primary practice location
120 W Dublin Dr Ste 202
Madison, AL 35758-3157
Mailing address
120 W Dublin Dr Ste 202
Madison, AL 35758-3157
Phone (256) 929-5507
Other names 1
- Lighthouse Clinical Social Work
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
120 W Dublin Dr
Ste 202
Madison, AL 35758
Phone (256) 929-5507
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Madison, AL
- NPI 1073552089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683590400000",
"number": "1578067930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W DUBLIN DR STE 202",
"city": "MADISON",
"state": "AL",
"postal_code": "357583157",
"telephone_number": "256-929-5507",
"fax_number": "888-440-7284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 W DUBLIN DR STE 202",
"city": "MADISON",
"state": "AL",
"postal_code": "357583157",
"telephone_number": "256-929-5507",
"fax_number": "888-440-7284"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIGHTHOUSE CLINICAL SOCIAL WORK, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-21",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A",
"authorized_official_last_name": "DUQUETTE",
"authorized_official_first_name": "DEBBIE",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
"authorized_official_telephone_number": "256-929-5507",
"authorized_official_credential": "L.I.C.S.W., P.I.P."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "AL",
"license": "1626",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lighthouse Clinical Social Work",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.