Individual provider Active NPI

Linda Daignault, LICSW

  • Clinical Social Worker
  • Duxbury, MA
National Provider Identifier
1700957974
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105506 Issued in MA
Practice address
65 Tussock Brook Rd
Duxbury, MA 02332-4834
Phone
(781) 789-7675
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 105506 MA Primary

Addresses

Primary practice location

65 Tussock Brook Rd
Duxbury, MA 02332-4834

Mailing address

65 Tussock Brook Rd
Duxbury, MA 02332-4834
Phone (781) 789-7675

Other identifiers 1

IdentifierTypeStateIssuer
DAPO3533OtherMABCBS SOCIAL WORKER

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

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700957974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 TUSSOCK BROOK RD",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023324834",
            "telephone_number": "781-789-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 TUSSOCK BROOK RD",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023324834",
            "telephone_number": "781-789-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAIGNAULT",
        "first_name": "LINDA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SOCIAL WORKER",
            "identifier": "DAPO3533",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duxbury, 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.

Verify at the official NPI Registry.