Jacqueline Elaine Dufault, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

213414 Issued in MA

Practice address

33 Dogwood Dr
Forestdale, MA 02644-1208

Phone

(508) 477-3230

NPI assigned

Feb 16, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jacqueline Dufault Professional name

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": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234742400000",
    "number": "1992944953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 DOGWOOD DR",
            "city": "FORESTDALE",
            "state": "MA",
            "postal_code": "026441208",
            "telephone_number": "508-477-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 DOGWOOD DR",
            "city": "FORESTDALE",
            "state": "MA",
            "postal_code": "026441208",
            "telephone_number": "508-477-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFAULT",
        "first_name": "JACQUELINE",
        "middle_name": "ELAINE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-16",
        "last_updated": "2009-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "213414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "DUFAULT",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Katherine Schaefer Cooney, OTR/L
• Ann M Deweer Aviles, M.D.
• Robert H Dimitri, PHD
• Lindsay Drouillard, CCC-SLP
• Judy M. Duarte, CPNP
• Terri-Lynn Dunbar, LPN
• Alizabeth Estey-Evans, M.S., CCC/SLP
• Kimberley Golubov, RBT
• Mary Susan Grabowski
• Philana J Henderson, CPNP

• Clinical Social Worker in Forestdale, MA
• Providers in Forestdale, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; 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.