Healthcare Provider Details

I. General information

NPI: 1285551697
Provider Name (Legal Business Name): CIEARA ELIZABETH DUQUETTE LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1703 FRONT ST
KEESEVILLE NY
12944-3619
US

IV. Provider business mailing address

1703 FRONT ST
KEESEVILLE NY
12944-3619
US

V. Phone/Fax

Practice location:
  • Phone: 518-834-5550
  • Fax: 518-834-5557
Mailing address:
  • Phone: 518-834-5550
  • Fax: 518-834-5557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number119480
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: