Provider Demographics
NPI:1013053909
Name:DUFFY, LINDA JOANNE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:JOANNE
Last Name:DUFFY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 COLDBROOK RD
Mailing Address - Street 2:
Mailing Address - City:OAKHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01068-9601
Mailing Address - Country:US
Mailing Address - Phone:508-882-0016
Mailing Address - Fax:
Practice Address - Street 1:103 COLDBROOK RD
Practice Address - Street 2:
Practice Address - City:OAKHAM
Practice Address - State:MA
Practice Address - Zip Code:01068-9601
Practice Address - Country:US
Practice Address - Phone:508-882-0016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA20307841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical