Provider Demographics
NPI:1396136859
Name:DUNCAN-FAUCETT, TAREN L (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:TAREN
Middle Name:L
Last Name:DUNCAN-FAUCETT
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:800 FULTON ST
Mailing Address - Street 2:ATTN: ANNE LAWSON
Mailing Address - City:LOGANSPORT
Mailing Address - State:IN
Mailing Address - Zip Code:46947-1577
Mailing Address - Country:US
Mailing Address - Phone:574-722-5151
Mailing Address - Fax:574-739-1414
Practice Address - Street 1:1948 W BOULEVARD
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-6078
Practice Address - Country:US
Practice Address - Phone:574-732-2485
Practice Address - Fax:844-684-6185
Is Sole Proprietor?:No
Enumeration Date:2015-02-05
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
104100000X
IN34007807A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker