Provider Demographics
NPI:1629007356
Name:DUGGIN, CYNTHIA K (LICSW)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:K
Last Name:DUGGIN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6238 N 154TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-4445
Mailing Address - Country:US
Mailing Address - Phone:402-630-2013
Mailing Address - Fax:402-884-5537
Practice Address - Street 1:706 N 129TH ST STE 103
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-6116
Practice Address - Country:US
Practice Address - Phone:402-630-2013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE952104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker