| Katie Duffy Lcsw | |
|
1007 13th Ave Belmar NJ 07719-2806 | |
| (732) 513-5133 | |
| Not Available |
| Full Name | Katie Duffy Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 1007 13th Ave, Belmar, New Jersey |
| Authorized Official Name and Position | Katherine Duffy (OWNER) |
| Authorized Official Contact | 7325135133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Duffy Lcsw 1007 13th Ave Belmar NJ 07719-2806 Ph: (732) 513-5133 | Katie Duffy Lcsw 1007 13th Ave Belmar NJ 07719-2806 Ph: (732) 513-5133 |
| NPI Number | 1659062453 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 05/31/2023 |
| Certification Date | 05/31/2023 |
| Medicare PECOS PAC ID | 7315306776 |
|---|---|
| Medicare Enrollment ID | O20230703000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659062453 | NPI | - | NPPES |
| 1437205622 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Katherine L Duffy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437205622 PECOS PAC ID: 2264532035 Enrollment ID: I20201202001375 |
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