Provider Demographics
NPI:1669900544
Name:DUCKETT, NOAH JAMES (LCSW)
Entity type:Individual
Prefix:MR
First Name:NOAH
Middle Name:JAMES
Last Name:DUCKETT
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-5014
Mailing Address - Country:US
Mailing Address - Phone:302-530-9728
Mailing Address - Fax:
Practice Address - Street 1:625 N SHIPLEY ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-2228
Practice Address - Country:US
Practice Address - Phone:302-530-9728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-23
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical