Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Diane Fougere, LICSW

Individual provider Social Worker · NPI 1689701351

Diane Fougere, LICSW is a Social Worker in Worcester, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2007
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

435 Shrewsbury St
Worcester, MA 01604-1689
Phone: (508) 753-5554
Fax: (508) 752-7245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 105459 (MA)

Record details

NPI number1689701351
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedFebruary 28, 2007
Last updated in NPPESJune 17, 2021
Certification dateJune 17, 2021

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