Active NPIIndividual providerSole proprietor

Dennis Goguen, LICSW

Social Worker, Clinical in Boylston, Massachusetts

NPI Number1104273515
Practice location
384 Sewall St, Boylston, MA 01505-2102
Fax
508-869-0268
Last updated
May 16, 2016

Dennis Goguen is a Social Worker, Clinical based in Boylston, MA. Dennis Goguen practices in Boylston, MA and has the professional credentials of LICSW. The NPI Number for Dennis Goguen is 1104273515 and holds a License No. 1026850 (MA). The current practice location address for Dennis Goguen is 384 Sewall St, Boylston, MA 01505-2102 and can be reached out via phone at 508-414-2867 and via fax at 508-869-0268.

Provider Profile Details

NPI Number
1104273515
Provider Name
Dennis Goguen
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
384 Sewall St, Boylston, MA 01505-2102
Phone Number
508-414-2867
Fax Number
508-869-0268
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
May 16, 2016
Last Update Date
May 16, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
384 Sewall St
Boylston, MA 01505-2102
Zip
01505-2102
Phone Number
508-414-2867
Fax Number
508-869-0268
Boylston, MA 01505Get directions →

Provider Business Mailing Address Details

Address
384 Sewall St
Boylston, MA 01505-2102
City
Boylston
State
MA
Zip
01505-2102
Phone Number
508-414-2867
Fax Number
508-869-3417

License Information

License Number
1026850
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dennis Goguen, LICSW?

The NPI number of Dennis Goguen, LICSW is 1104273515. It was assigned on May 16, 2016 and is currently active in the NPPES registry.

What is the specialty of Dennis Goguen, LICSW?

Dennis Goguen, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1026850.

Where does Dennis Goguen, LICSW practice?

The practice location is 384 Sewall St, Boylston, MA 01505-2102. The office can be reached at 508-414-2867 (phone) or 508-869-0268 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104273515 directly on the NPPES registry website.

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