Cortney Rae Duffner, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801088062 Issued in MI

Practice address

11630 Fulton St E
Lowell, MI 49331-9426

Phone

(616) 481-3784

NPI assigned

Dec 23, 2014

Last updated

Dec 23, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Childhood Behavior Consulting Services

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1700359478
  NPD Authorized official
• Martino Health & Wellness

  • Mental Health Counselor
  • Lowell, MI
  • NPI 1982416111
  NPD (past)

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1356739403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5580 HIGHBURY DR SE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493017738",
            "telephone_number": "616-443-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 FULTON ST E",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493319426",
            "telephone_number": "616-481-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFNER",
        "first_name": "CORTNEY",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric John Defouw, PHARMD
• Mary Margaret Delaski, Fse, MT-BC
• Dery Physical Therapy Services, PC
• Dery Rehabilitation Services, PC
• Shelbi Dale Diamond, SST
• Rebekah Marie Dukes
• Julianne Dusendang
• Miranda May Eden, MT-BC
• Kimberly Louise Eliason
• Erinn Epp, MA, MT-BC

• Clinical Social Worker in Lowell, MI
• Providers in Lowell, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.