Provider Demographics
NPI:1497051825
Name:MCDUFFEE, KRISTEN NEVE (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:NEVE
Last Name:MCDUFFEE
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318B DAIRYLAND RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-5626
Mailing Address - Country:US
Mailing Address - Phone:919-260-6091
Mailing Address - Fax:
Practice Address - Street 1:300 S SALEM ST
Practice Address - Street 2:SUITE 300 B-3
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-1827
Practice Address - Country:US
Practice Address - Phone:919-260-6091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-02
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0044121041C0700X
NCC0074231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical