Diane Fougere, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

105459 Issued in MA

Practice address

435 Shrewsbury St
Worcester, MA 01604-1689

Phone

(508) 753-5554

Fax

(508) 752-7245

NPI assigned

Feb 28, 2007

Last updated

Jun 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1689701351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 RUSSELL ST",
            "address_2": "SUITE 103",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092265",
            "telephone_number": "508-797-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 SHREWSBURY ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041689",
            "telephone_number": "508-753-5554",
            "fax_number": "508-752-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUGERE",
        "first_name": "DIANE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "105459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Foster, LMHC
• Paul Foster
• Olga Fotos
• Jan Fouad, M.D.
• Nicole Fouad, MD
• Cathy A Foulkrod-Pickett, LCSW
• William S Foulsham, MD, MBCHB
• Foundations Counseling and Wellness, LLC
• Bryce Fournier, M.A., BCBA, LABA
• Emily Fournier

• Social Worker in Worcester, MA
• Providers in Worcester, MA by specialty
• Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.