Individual provider Active NPI

Danielle Dubuque, LICSW

  • Social Worker
  • Shrewsbury, MA
National Provider Identifier
1801461165
Registry record updated Sep 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
127408 Issued in MA
Practice address
119 Boston Tpke Ste 299
Shrewsbury, MA 01545-3602
Phone
(508) 641-2067
NPI assigned
May 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 127408 MA Primary

Addresses

Primary practice location

119 Boston Tpke Ste 299
Shrewsbury, MA 01545-3602

Mailing address

119 Boston Tpke Ste 299
Shrewsbury, MA 01545-3602
Phone (508) 641-2067

Other practice location 1

93 Riverlin St
Millbury, MA 01527-4142
Phone (508) 641-2067

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
127408MAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726358400000",
    "number": "1801461165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 BOSTON TPKE STE 299",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453602",
            "telephone_number": "508-641-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 BOSTON TPKE STE 299",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453602",
            "telephone_number": "508-641-2067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "93 Riverlin St",
            "address_purpose": "LOCATION",
            "city": "Millbury",
            "state": "MA",
            "postal_code": "015274142",
            "country_code": "US",
            "telephone_number": "508-641-2067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBUQUE",
        "first_name": "DANIELLE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2024-09-15",
        "certification_date": "2024-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "127408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2024; 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.