Jeffrey Alexander Duclos, LCDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDP00640 Issued in RI

Practice address

58 E Main Rd
Middletown, RI 02842-4988

Phone

(401) 608-3322

Fax

(401) 608-3323

NPI assigned

Dec 20, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1649930538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 E MAIN RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028424988",
            "telephone_number": "401-608-3322",
            "fax_number": "401-608-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 E MAIN RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028424988",
            "telephone_number": "401-608-3322",
            "fax_number": "401-608-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCLOS",
        "first_name": "JEFFREY",
        "middle_name": "ALEXANDER",
        "credential": "LCDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "CDP00640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Costa Dowd, LICSW
• Dr. Leonard C. Taddei, D.M.D
• Joanna B Dragone, RN
• Natalie Driscoll, NP
• Wendy S Drysdale, ATC
• Katherine Dugan, RBT
• Rachael Leigh Dugan, RN
• Kasey Dunn, RN
• Michael Sison Duque, M.D.
• Peter Hakan Durudogan, DDS

• Addiction (Substance Use Disorder) Counselor in Middletown, RI
• Providers in Middletown, RI by specialty
• Addiction (Substance Use Disorder) Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.