| Lighthouse Clinical Social Work | |
|
120 W Dublin Dr Ste 202 Madison AL 35758-3157 | |
| (256) 929-5507 | |
| (888) 440-7284 |
| Full Name | Lighthouse Clinical Social Work |
|---|---|
| Speciality | Social Worker |
| Location | 120 W Dublin Dr Ste 202, Madison, Alabama |
| Authorized Official Name and Position | Debbie Kay Duquette (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 2569295507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Clinical Social Work 120 W Dublin Dr Ste 202 Madison AL 35758-3157 Ph: (256) 929-5507 | Lighthouse Clinical Social Work 120 W Dublin Dr Ste 202 Madison AL 35758-3157 Ph: (256) 929-5507 |
| NPI Number | 1578067930 |
|---|---|
| Provider Enumeration Date | 03/21/2018 |
| Last Update Date | 05/09/2023 |
| Certification Date | 05/09/2023 |
| Medicare PECOS PAC ID | 5294100806 |
|---|---|
| Medicare Enrollment ID | O20230413001351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578067930 | NPI | - | NPPES |
| 51526789 | Other | BCBS | |
| 11817512 | Other | CAQH | |
| Q35592 | Other | UPIN | |
| 51527591 | Other | FEDERAL BCBS | |
| 1073552089 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | 1626 (Alabama) | Secondary |
| Provider Name | Debbie Kay Duquette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073552089 PECOS PAC ID: 5597717827 Enrollment ID: I20230731000199 |
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