Active NPI
John H. Dugan, LICSW
- Clinical Social Worker
- Cambridge, MA
National Provider Identifier
1598797128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 110888
- Practice address
- 64 Church St
Lower Level
Cambridge, MA 02138-3730 - Phone
- (617) 504-6444
- Fax
- (617) 441-7510
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 110888 | MA | Primary |
Addresses
Primary practice location
64 Church St
Lower Level
Cambridge, MA 02138-3730
Mailing address
64 Church St
Lower Level
Cambridge, MA 02138-3730
Phone (617) 504-6444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P07959 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110888 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Two Brattle Center, P.C. | Clinical | Past | Accepting new patients |
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": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598797128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 CHURCH ST",
"address_2": "LOWER LEVEL",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021383730",
"telephone_number": "617-504-6444",
"fax_number": "617-441-7510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 CHURCH ST",
"address_2": "LOWER LEVEL",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021383730",
"telephone_number": "617-504-6444",
"fax_number": "617-441-7510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGAN",
"first_name": "JOHN",
"middle_name": "H.",
"name_prefix": "Mr.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "110888",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "P07959",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.