Active NPIIndividual providerSole proprietor

Mr. Jeffrey A Gaudet, MSW, LICSW

Social Worker, Clinical in Mashpee, Massachusetts

NPI Number1467592519
Practice location
681 Falmouth Road, Deer Crossing Upper Level, Building C, Unit 23E, Mashpee, MA 02649
Fax
877-727-2290
Last updated
May 16, 2022

Jeffrey Arnold Gaudet is a Social Worker, Clinical based in Mashpee, MA. Jeffrey Arnold Gaudet practices in Mashpee, MA and has the professional credentials of MSW, LICSW. The NPI Number for Jeffrey Arnold Gaudet is 1467592519 and holds a License No. 110016 (MA). The current practice location address for Jeffrey Arnold Gaudet is 681 Falmouth Road, Deer Crossing Upper Level, Building C, Unit 23E, Mashpee, MA 02649 and can be reached out via phone at 774-454-4301 and via fax at 877-727-2290.

Provider Profile Details

NPI Number
1467592519
Provider Name
Jeffrey Arnold Gaudet
Credential
MSW, LICSW
Provider Entity Type
Individual
Gender
Male
Address
681 Falmouth Road, Deer Crossing Upper Level, Building C, Unit 23E, Mashpee, MA 02649
Phone Number
774-454-4301
Fax Number
877-727-2290
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 7, 2007
Last Update Date
May 16, 2022
Certification Date
March 2, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
681 Falmouth Road
Deer Crossing Upper Level, Building C, Unit 23E
Mashpee, MA 02649
Zip
02649
Phone Number
774-454-4301
Fax Number
877-727-2290
Mashpee, MA 02649Get directions →

Provider Business Mailing Address Details

Address
Po Box 289
Sandwich, MA 02563-0289
City
Sandwich
State
MA
Zip
02563-0289
Phone Number
774-454-4301
Fax Number
877-727-2290

License Information

License Number
110016
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 Mr. Jeffrey A Gaudet, MSW, LICSW?

The NPI number of Mr. Jeffrey A Gaudet, MSW, LICSW is 1467592519. It was assigned on February 7, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Jeffrey A Gaudet, MSW, LICSW?

Mr. Jeffrey A Gaudet, MSW, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 110016.

Where does Mr. Jeffrey A Gaudet, MSW, LICSW practice?

The practice location is 681 Falmouth Road, Deer Crossing Upper Level, Building C, Unit 23E, Mashpee, MA 02649. The office can be reached at 774-454-4301 (phone) or 877-727-2290 (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 1467592519 directly on the NPPES registry website.

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