Provider Demographics
NPI:1295177103
Name:DUNCAN, CHARLINE MAY (LMHP, LCSW)
Entity type:Individual
Prefix:MS
First Name:CHARLINE
Middle Name:MAY
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:LMHP, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 LAKE ST
Mailing Address - Street 2:SUITE 140
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68111-3872
Mailing Address - Country:US
Mailing Address - Phone:402-614-6670
Mailing Address - Fax:402-614-6676
Practice Address - Street 1:2401 LAKE ST
Practice Address - Street 2:SUITE 140
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-3872
Practice Address - Country:US
Practice Address - Phone:402-614-6670
Practice Address - Fax:402-614-6676
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-19
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1862101YM0800X
NE2251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical