Lighthouse Clinical Social Work, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LIGHTHOUSE CLINICAL SOCIAL WORK, LLC

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

Organization subpart

No

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.NPI 1073552089

Title

Owner/Psychotherapist

Phone

(256) 929-5507

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Lighthouse Clinical Social Work Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debbie Kay Duquette, LICSW

  • Clinical Social Worker
  • Madison, AL
  • NPI 1073552089

  AL, Clinical

  Medicare reassignment NPD Authorized official

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51526789",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11817512",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "Q35592",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BCBS",
            "identifier": "51527591",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1073552089",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Clinical Social Work",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Lewis, RBT
• James Michael Lewis, DMD
• Madison Lewis
• Life Junk Organizer
• Lifeline Therapy, LLC
• Lighthouse Mental Health Services
• Lighthouse Psychiatry & Behavioral Health Clinic LLC
• Ndongo Likembi, AANP
• Jan C Liles, AU.D
• William Perry Liles, MS, CCC/SLP

• All providers in Madison, AL
• Clinical Social Worker in Alabama

• 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.

Verify at the official NPI Registry.