Provider Demographics
NPI:1972512804
Name:LAIRD, DUNCAN (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:DUNCAN
Middle Name:
Last Name:LAIRD
Suffix:
Gender:M
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 PETTICOAT HILL RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01096-9432
Mailing Address - Country:US
Mailing Address - Phone:413-268-9353
Mailing Address - Fax:
Practice Address - Street 1:111 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3924
Practice Address - Country:US
Practice Address - Phone:413-585-8772
Practice Address - Fax:413-585-8772
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10257201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical