Provider Demographics
NPI:1982873527
Name:LUNDEN, NANCY RMILLER (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:RMILLER
Last Name:LUNDEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1111 ELM STREET
Mailing Address - Street 2:SUITE 7,MAY INSTITUTE
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089
Mailing Address - Country:US
Mailing Address - Phone:413-734-0300
Mailing Address - Fax:413-734-0800
Practice Address - Street 1:1111 ELM STREET
Practice Address - Street 2:SUITE 7,MAY INSTITUTE
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-1589
Practice Address - Country:US
Practice Address - Phone:413-734-0300
Practice Address - Fax:413-734-0800
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-28
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2024598104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker