Provider Demographics
NPI:1790715613
Name:LUND, CLAUDINE J (LICSW)
Entity Type:Individual
Prefix:
First Name:CLAUDINE
Middle Name:J
Last Name:LUND
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 1:2 CARPENTER RD
Mailing Address - Street 2:
Mailing Address - City:BARNSTEAD
Mailing Address - State:NH
Mailing Address - Zip Code:03218-3780
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:41 GLENDALE PL
Practice Address - Street 2:SUITE 9
Practice Address - City:GILFORD
Practice Address - State:NH
Practice Address - Zip Code:03249-7644
Practice Address - Country:US
Practice Address - Phone:603-293-0026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH12901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical