Provider Demographics
NPI:1679764658
Name:DUEKER, BARRY G (LCSW)
Entity Type:Individual
Prefix:MR
First Name:BARRY
Middle Name:G
Last Name:DUEKER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2023 GREENWICH ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-2107
Mailing Address - Country:US
Mailing Address - Phone:908-755-8467
Mailing Address - Fax:
Practice Address - Street 1:2023 GREENWICH ST
Practice Address - Street 2:
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-2107
Practice Address - Country:US
Practice Address - Phone:908-755-8467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC00081700101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ44SC00081700OtherSTATE OF NJ , LCSW