Provider Demographics
NPI:1013128727
Name:LORQUET, DGYNA B (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DGYNA
Middle Name:B
Last Name:LORQUET
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 CLEARSTREAM RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-2038
Mailing Address - Country:US
Mailing Address - Phone:908-209-2613
Mailing Address - Fax:732-886-0502
Practice Address - Street 1:312 CLEARSTREAM RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-2038
Practice Address - Country:US
Practice Address - Phone:908-209-2613
Practice Address - Fax:732-886-0502
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2017-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC057043001041C0700X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool