Organization
LIGHTHOUSE CLINICAL SOCIAL WORK, LLC
Active
Other names
Lighthouse Clinical Social Work
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE KAY DUQUETTE L.I.C.S.W., P.I.P. (OWNER/PSYCHOTHERAPIST)
(256) 929-5507
Entity
Organization
Contact information
Practice address
120 W DUBLIN DR STE 202, MADISON, AL 35758-3157
(256) 929-5507
(888) 440-7284
Mailing address
120 W DUBLIN DR STE 202, MADISON, AL 35758-3157
(256) 929-5507
(888) 440-7284
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
1626
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073552089
INDIVIDUAL NPI
—
01
—
11817512
CAQH
—
01
—
51526789
BCBS
—
01
—
51527591
FEDERAL BCBS
—
01
—
Q35592
UPIN
—
Enumeration date
03/21/2018
Last updated
05/09/2023
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