Provider Demographics
NPI:1689749087
Name:DURAZO, NOHEMY OTILIA (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:NOHEMY
Middle Name:OTILIA
Last Name:DURAZO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:NOHEMY
Other - Middle Name:OTILIA
Other - Last Name:VALDERRAMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:10901 E MCDOWELL RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85256
Mailing Address - Country:US
Mailing Address - Phone:480-362-3358
Mailing Address - Fax:480-362-5831
Practice Address - Street 1:10901 E MCDOWELL RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85256
Practice Address - Country:US
Practice Address - Phone:480-362-3358
Practice Address - Fax:480-362-5831
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071599-11041C0700X
AZLMSW-135961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical