Provider Demographics
NPI:1083864607
Name:O'CONNELL-DUFFY, MARGARET MARY (LMSW)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARY
Last Name:O'CONNELL-DUFFY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 MAIN ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-2157
Mailing Address - Country:US
Mailing Address - Phone:845-294-5888
Mailing Address - Fax:845-294-1402
Practice Address - Street 1:224 MAIN ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-2157
Practice Address - Country:US
Practice Address - Phone:845-294-5888
Practice Address - Fax:845-294-1402
Is Sole Proprietor?:No
Enumeration Date:2008-09-19
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY081742104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker