Provider Demographics
NPI:1114331386
Name:DUNCAN, JUDY LYNNE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JUDY
Middle Name:LYNNE
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 COEYMAN AVE
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-1514
Mailing Address - Country:US
Mailing Address - Phone:973-667-0045
Mailing Address - Fax:
Practice Address - Street 1:179 CAHILL CROSS RD
Practice Address - Street 2:SUITE #204
Practice Address - City:WEST MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07480-1988
Practice Address - Country:US
Practice Address - Phone:973-728-5111
Practice Address - Fax:973-728-8747
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-16
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC001913001041C0700X
NYR026110-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical