Individual provider Active NPI

Debora Ouimette

  • Clinical Social Worker
  • Salem, MA
National Provider Identifier
1770014359
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
116709 Issued in MA
Practice address
45 Congress St
Suite 4120
Salem, MA 01970-5579
Phone
(978) 741-7316
Fax
(978) 741-7340
NPI assigned
Mar 24, 2017
Last updated
Mar 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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 116709 MA Primary

Addresses

Primary practice location

45 Congress St
Suite 4120
Salem, MA 01970-5579

Mailing address

45 Congress St
Suite 4120
Salem, MA 01970-5579
Phone (978) 741-7316

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
116709MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1770014359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CONGRESS ST",
            "address_2": "SUITE 4120",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705579",
            "telephone_number": "978-741-7316",
            "fax_number": "978-741-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CONGRESS ST",
            "address_2": "SUITE 4120",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705579",
            "telephone_number": "978-741-7316",
            "fax_number": "978-741-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUIMETTE",
        "first_name": "DEBORA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.