Individual provider Active NPI

Laurie Ann Duane, LCSW

  • Clinical Social Worker
  • Red Bank, NJ
National Provider Identifier
1033356662
Registry record updated Aug 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05330200 Issued in NJ
Practice address
1 Harding Rd
Suite 209
Red Bank, NJ 07701-2018
Phone
(732) 842-0092
NPI assigned
Jan 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05330200 NJ Primary

Addresses

Primary practice location

1 Harding Rd
Suite 209
Red Bank, NJ 07701-2018

Mailing address

1 Harding Rd
Suite 209
Red Bank, NJ 07701-2018
Phone (732) 842-0092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05330200NJMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249603200000",
    "number": "1033356662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HARDING RD",
            "address_2": "SUITE 209",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012018",
            "telephone_number": "732-842-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HARDING RD",
            "address_2": "SUITE 209",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012018",
            "telephone_number": "732-842-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUANE",
        "first_name": "LAURIE",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05330200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.