Annthony Michael Duffey, LCSW

Key facts

NPI

1063992154

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

CSW008753 (GA)

Practice address

307 Church St Ste C
Lagrange, GA 30240-2700

Phone

(706) 298-3794

Fax

(706) 298-3795

NPI assigned

Aug 17, 2018

Sex

Male

Sole proprietor

No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Behavioral Health Professionals of Lagrange, LLC Psychiatry Physician · Lagrange, GA · NPI 1861016537
  Medicare reassignment NPD GA
• Mental Health Specialty Group PA Mental Health Counselor · Durham, NC · NPI 1801472634
  Medicare reassignment NPD GA
• Balanced Health Consultants, LLC Mental Health Counselor · Lagrange, GA · NPI 1104627660
  NPD CLINICAL
• Kids Zone Behavioral Health, Inc Mental Health Counselor · Lagrange, GA · NPI 1336639582
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 19, 2025.

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1063992154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321B GREENVILLE ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302413231",
            "telephone_number": "706-616-1715",
            "fax_number": "706-780-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 CHURCH ST STE C",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402700",
            "telephone_number": "706-298-3794",
            "fax_number": "706-298-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFEY",
        "first_name": "ANNTHONY",
        "middle_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-17",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angela Nicole Donnet, LPN
• Dr. Brent Brown & Associates, Inc.
• Dr. Walter L. Stewart DDS,PC
• Madison Driscoll, LPC
• Shawn Allen Droge, S/T
• Paulette Dukes, MCD, CCC-SLP
• Jane Campbell Dunlap, APRN, CRNP
• Ktonya Latrai Dunlap, LPN
• Marlis Jane Faber Dunlap, FNP-C
• Shannon K. Dunlap, PHD

All providers in Lagrange, GA · Clinical Social Worker in Georgia