Patrick Duverger, LMSW
Individual provider Active NPI Clinical Social Worker · Westbrook, CT
NPI 1861210403 · NPPES record last updated Oct 2, 2024
Key facts
- NPI
- 1861210403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6489 (CT)
- Practice address
- 4 Grove Beach Rd N Ste 2D
Westbrook, CT 06498-1656 - Phone
- (860) 437-4550
- Fax
- (860) 661-4262
- NPI assigned
- Oct 2, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6489 | CT | MD | Periodontist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6489 | CT | Yes |
Addresses
Primary practice location
4 Grove Beach Rd N Ste 2D
Westbrook, CT 06498-1656
Mailing address
PO Box 120
New London, CT 06320-0120
Phone (860) 437-4550
Other providers in Westbrook, CT
- David J. Eilbott, MD, PLLC
- Holly Finley David
- Gabriella Delorenze
- Alicia Demartin
- Dignity Home Health LLC
- Robin Ehle-Meyer
- Serena Eldredge
- Tara T.S. Fagan
- Melissa Febbroriello
- Fernwood Holistic Health
All providers in Westbrook, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.