Provider Demographics
NPI:1013158633
Name:DUNCAN, NAOMI L (LCSW)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:L
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:NAOMI
Other - Middle Name:ALICIA
Other - Last Name:LEHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:615 AMBROSE LN
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-2858
Mailing Address - Country:US
Mailing Address - Phone:404-557-8931
Mailing Address - Fax:
Practice Address - Street 1:300 TIVOLI GARDENS RD
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-1557
Practice Address - Country:US
Practice Address - Phone:404-557-8931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-11
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0036941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical