Active NPI
Danielle Dubuque, LICSW
- Social Worker
- Shrewsbury, MA
National Provider Identifier
1801461165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 127408
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 127408 | MA | MD | Social 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.