Jeffrey Robert Duquette

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MC13648 Issued in ME

Practice address

67 Shaker Rd
Gray, ME 04039-9640

Phone

(207) 657-7700

NPI assigned

Jul 30, 2012

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

Other identifiers 1

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": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1770839615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 SHAKER RD",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040399640",
            "telephone_number": "207-657-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 SHAKER RD",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040399640",
            "telephone_number": "207-657-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUQUETTE",
        "first_name": "JEFFREY",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC13648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952334021",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Dibiase
• Chris Jerome Dombrowski, D.C.
• Frances P Dombrowski, D.C.
• Matthew Dubois
• Lisa A. Dulac, L.AC
• Shady Aly Ismail Elattar
• Elr Care Maine LLC
• Laura Paige Farris, CRNP
• Edwin Ronald Feintech, PHD PSYCHOLOGY
• Mary L Feltovic, PT, DPT

• Clinical Social Worker in Gray, ME
• Providers in Gray, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.