Provider Demographics
NPI:1366849242
Name:DUARTE, LAURIEANN (LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:LAURIEANN
Middle Name:
Last Name:DUARTE
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10410 KENSINGTON PKWY STE 225
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-2949
Mailing Address - Country:US
Mailing Address - Phone:240-278-9522
Mailing Address - Fax:
Practice Address - Street 1:10410 KENSINGTON PKWY STE 225
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2949
Practice Address - Country:US
Practice Address - Phone:240-278-9522
Practice Address - Fax:301-933-3322
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-20
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD187361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1041C0700XOtherNATIONAL ASSOCIATION OF SOCIAL WORKERS