Active NPIIndividual providerSole proprietor

Diane Fougere, LICSW

Social Worker in Worcester, Massachusetts

NPI Number1689701351
Practice location
435 Shrewsbury St, Worcester, MA 01604-1689
Fax
508-752-7245
Last updated
June 17, 2021

Diane Fougere is a Social Worker based in Worcester, MA. Diane Fougere practices in Worcester, MA and has the professional credentials of LICSW. The NPI Number for Diane Fougere is 1689701351 and holds a License No. 105459 (MA). The current practice location address for Diane Fougere is 435 Shrewsbury St, Worcester, MA 01604-1689 and can be reached out via phone at 508-753-5554 and via fax at 508-752-7245.

Provider Profile Details

NPI Number
1689701351
Provider Name
Diane Fougere
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
435 Shrewsbury St, Worcester, MA 01604-1689
Phone Number
508-753-5554
Fax Number
508-752-7245
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
February 28, 2007
Last Update Date
June 17, 2021
Certification Date
June 17, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
435 Shrewsbury St
Worcester, MA 01604-1689
Zip
01604-1689
Phone Number
508-753-5554
Fax Number
508-752-7245
Worcester, MA 01604Get directions →

Provider Business Mailing Address Details

Address
202 Russell St
Suite 103
Worcester, MA 01609-2265
City
Worcester
State
MA
Zip
01609-2265
Phone Number
508-797-7128

License Information

License Number
105459
License State
MA
Taxonomy
Social Worker · 104100000X · 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 Diane Fougere, LICSW?

The NPI number of Diane Fougere, LICSW is 1689701351. It was assigned on February 28, 2007 and is currently active in the NPPES registry.

What is the specialty of Diane Fougere, LICSW?

Diane Fougere, LICSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number 105459.

Where does Diane Fougere, LICSW practice?

The practice location is 435 Shrewsbury St, Worcester, MA 01604-1689. The office can be reached at 508-753-5554 (phone) or 508-752-7245 (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 1689701351 directly on the NPPES registry website.

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