Provider Demographics
NPI:1164759783
Name:DUPREY, JEFFREY OGLE (MSW, LICSW, LAC)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:OGLE
Last Name:DUPREY
Suffix:
Gender:M
Credentials:MSW, LICSW, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 EVERETT AVE
Mailing Address - Street 2:
Mailing Address - City:BELCHERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01007-9577
Mailing Address - Country:US
Mailing Address - Phone:413-636-5027
Mailing Address - Fax:
Practice Address - Street 1:HORIZON BUILDING, BUILDING 4L, SUD-C
Practice Address - Street 2:421 NORTH MAIN STREET
Practice Address - City:LEEDS
Practice Address - State:MA
Practice Address - Zip Code:01053-9764
Practice Address - Country:US
Practice Address - Phone:413-584-4040
Practice Address - Fax:413-582-3137
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-04
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS259101YA0400X
MA1175491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)