Individual provider Active NPI

Loren Doucette Bleau

  • Clinical Social Worker
  • Haverhill, MA
National Provider Identifier
1609402064
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
225609 Issued in MA
Practice address
76 Winter St
Haverhill, MA 01830-5760
Phone
(978) 373-1181
NPI assigned
Mar 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 225609 MA Primary

Addresses

Primary practice location

76 Winter St
Haverhill, MA 01830-5760

Mailing address

300 Rosewood Dr
Danvers, MA 01923-1384
Phone (978) 538-0286

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Evolv Other

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
225609MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1609402064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ROSEWOOD DR",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231384",
            "telephone_number": "978-538-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 WINTER ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018305760",
            "telephone_number": "978-373-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUCETTE BLEAU",
        "first_name": "LOREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "225609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Evolv",
            "affiliation": "N",
            "endpointDescription": "Database",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Session Notes",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Session Notes",
            "address_1": "76 Winter St",
            "city": "Haverhill",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018305760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.