Individual provider Active NPI

Ellen Duhamel, LICSW

  • Clinical Social Worker
  • South Barre, MA
National Provider Identifier
1578952933
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
126838 Issued in MA
Practice address
15 Elm St S
South Barre, MA 01074-7711
Phone
(978) 257-5722
NPI assigned
Jan 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 126838 MA Primary

Addresses

Primary practice location

15 Elm St S
South Barre, MA 01074-7711

Mailing address

PO Box 96
South Barre, MA 01074-0096
Phone (978) 257-5722

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
I20240301001905 MA Practitioner - Clinical Social Worker 8123463031 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocates, Inc.Group PAC ID 9830404045, 111 clinicians

Practice addresses (Care Compare)

360 Merrimack St
Lawrence, MA 01843-1740
Phone (978) 687-1617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
126838MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates, Inc. Current Accepting new patients
Advocates, Inc CurrentSince Aug 19, 2024 Accepting new patients
Advocates, Inc CurrentSince Aug 19, 2024 Accepting new patients
FCP, Inc CurrentSince Jan 4, 2024 Accepting new patients

Locations

1094 Worcester Rd
Framingham, MA 01702
Phone (508) 665-4344

1881 Worcester Rd
Framingham, MA 01701

360 Merrimack St
Ste 3
Lawrence, MA 01843
Phone (978) 687-1617

Organizations & group practices 4

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": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1578952933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "SOUTH BARRE",
            "state": "MA",
            "postal_code": "010740096",
            "telephone_number": "978-257-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ELM ST S",
            "city": "SOUTH BARRE",
            "state": "MA",
            "postal_code": "010747711",
            "telephone_number": "978-257-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUHAMEL",
        "first_name": "ELLEN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "126838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Barre, MA

Sources for this page

Verify at the official NPI Registry.