Patrick Duncan, LCSWA

Primary specialty

Social WorkerTaxonomy code 104100000X

License

P014252 Issued in NC

Practice address

201 New Bridge St Ste 105
Jacksonville, NC 28540-4736

Phone

(910) 336-4958

Fax

(910) 333-9742

NPI assigned

Jan 4, 2020

Last updated

Jan 4, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1578096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578096000000",
    "number": "1396384558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NEW BRIDGE ST STE 105",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404736",
            "telephone_number": "910-336-4958",
            "fax_number": "910-333-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NEW BRIDGE ST STE 105",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404736",
            "telephone_number": "910-336-4958",
            "fax_number": "910-333-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "PATRICK",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-04",
        "last_updated": "2020-01-04",
        "certification_date": "2020-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NC",
            "license": "P014252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Ashley Dudley, LCSW-A
• Jessica Duehring, M.P.T.
• Samantha Dukes, LCSWA
• Ginnovia Rena Dumas
• Kelly D Duncan, CNM, FNP
• Rose A Duncan, PA-C
• Toni Chandler Duncan, M.A., LPC
• Nicole Dunnigan, PMHNP-BC
• Madison Elizabeth Duran
• Shirby Durant, LCSWA, LCASA

• Social Worker in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2020; 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.