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Deactivated NPI 1750333662 Deactivated / Inactive NPI Male Practitioner

Leland Joseph Dubuc , LMSW

Social Worker • Jackson, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Leland Dubuc has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 17, 2006
NPI Deactivation Date October 18, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Leland Dubuc, LMSW was a registered Social Worker practicing in Jackson, MI. Throughout an active medical career spanning 16 years, Leland Dubuc provided care at the practice location at 205 N EAST AVE until profile deactivation on 2022-10-18.

Historical Medicare Part B clinical services included psychotherapy. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

205 N East Ave

Jackson, MI 492011753

Telephone 5177884730
Fax 5177884701
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Jackson, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.9 Yrs
State Avg: 16.0 Yrs
Regional Practice Density
171 Specialists

Practicing in Jackson, MI (9360 Statewide)

Telehealth Adoption Rate
4.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
31.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
175 14 $90.26 $61.96

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License MI 6801016693

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Kathleen Mahoney , CSW

Social Worker - Clinical

NPI 1023051703

Clinical Social Worker

NPI 1275640393

Licensed Master Social Worker

NPI 1306803085

Doctor of Philosophy (Ph.D.)

NPI 1306886486

Clinical Social Worker

Kara Ettenson , LMSW, MSW

Social Worker - Clinical

NPI 1326007147

Licensed Master Social Worker, Master of Social Work

Dr. Steven Putnam , PhD

Psychologist - Clinical

NPI 1386601920

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
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NPI Profile Deactivated October 18, 2022

Record deactivated on October 18, 2022

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Updated Business Mailing Address November 23, 2020

Registered at 316 S BROWN ST, STE A, JACKSON, MI 492031481 (Tel: 5179367580)

NPI Profile Active August 16, 2017

NPI status registered as active in NPPES database

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Updated Practice Location August 16, 2017

Registered at 205 N EAST AVE, JACKSON, MI 492011753 (Tel: 5177884730)

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Updated Business Mailing Address August 16, 2017

Registered at PO BOX 67000, DEPARTMENT 272801, DETROIT, MI 482672728 (Tel: 5178416913)

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Provider Name / Credentials Updated August 16, 2017

Recorded as LELAND DUBUC, LMSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2017

Social Worker (License #6801016693 in MI)

NPI Profile Active November 27, 2007

NPI status registered as active in NPPES database

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Updated Practice Location November 27, 2007

Registered at 205 N EAST AVE, JACKSON, MI 492011753 (Tel: 5177884730)

📍
Updated Business Mailing Address November 27, 2007

Registered at PO BOX 67000, DEPARTMENT 272801, DETROIT, MI 482672728 (Tel: 5178416913)

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Provider Name / Credentials Updated November 27, 2007

Recorded as LELAND DUBUC, LMSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2007

Social Worker (License #6801016693 in MI)

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Initial NPI Registration & Enumeration May 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750333662
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2006
Last Update: November 27, 2007
Deactivation Date: October 18, 2022

Mailing Address

Po Box 67000, Department 272801

Detroit, MI 482672728

Phone: 5178416913

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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