Active NPI
Jennifer Marie Doucet, DSW, LCSW, MSW
- Clinical Social Worker
- Palos Hills, IL
National Provider Identifier
1740955533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.019006
- Practice address
- 10066 S Hill Ter Apt 209
Palos Hills, IL 60465-1270 - Phone
- (872) 222-9974
- NPI assigned
- Aug 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.019006 | IL | Primary |
| Clinical Social Worker | 1041C0700X | 16184 | LA |
Addresses
Primary practice location
10066 S Hill Ter Apt 209
Palos Hills, IL 60465-1270
Mailing address
10066 S Hill Ter Apt 209
Palos Hills, IL 60465-1270
Phone (872) 237-0434
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 |
|---|---|---|---|
| 149.019006 | IL | MD | Clinical Social Worker |
| 16184 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1740955533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10066 S HILL TER APT 209",
"city": "PALOS HILLS",
"state": "IL",
"postal_code": "604651270",
"telephone_number": "872-237-0434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10066 S HILL TER APT 209",
"city": "PALOS HILLS",
"state": "IL",
"postal_code": "604651270",
"telephone_number": "872-222-9974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUCET",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DSW, LCSW, MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-12",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.019006",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "16184",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palos Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.