Provider Demographics
NPI:1205819182
Name:DUVAL, LYNNE M (LICSW)
Entity type:Individual
Prefix:MRS
First Name:LYNNE
Middle Name:M
Last Name:DUVAL
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 1:468 ROUTE 13 S
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03055-3488
Mailing Address - Country:US
Mailing Address - Phone:603-672-1881
Mailing Address - Fax:603-672-1444
Practice Address - Street 1:468 ROUTE 13 S
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:NH
Practice Address - Zip Code:03055-3488
Practice Address - Country:US
Practice Address - Phone:603-672-1881
Practice Address - Fax:603-589-1285
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH12071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH378707OtherMVP HEALTH CARE
NH201985623OtherGREAT-WEST HEALTHCARE
NH20-1985623OtherTRICARE
NH201985623OtherGUARDIAN
NH3079631Medicaid
NH14Y001736NH02OtherANTHEM BCBSNH
NH201985623OtherMARTINS POINT
NH523414OtherVALUEOPTIONS
NH2196980OtherCIGNA BEHAVIORAL HEALTH
NH20-1985623-01OtherPACIFICARE BEHAVIORAL HEA
NH201985623OtherUNITED HEALTHCARE
NH351210OtherMHN GROUP PROVIDER #
NH737424000OtherMAGELLAN HEALTH SERVICES
NH201985623OtherAETNA BEHAVIORAL HEALTH
NH14Y001736NH02OtherANTHEM BCBSNH
NH201985623OtherGREAT-WEST HEALTHCARE
NHRE8166Medicare PIN