MEDICARE: LILIANA DUENAS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	44SL05295500	NJ
2	1041C0700X	Clinical Social Worker	SW18278	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336564491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILIANA DUENAS LCSW

Provider Business Mailing Address
First Line	:	5944 TRIPHAMMER RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-1551
Country	:	US
Telephone Number	:	201-424-2349
Fax Number	:

Provider Business Practice Location Address
First Line	:	5944 TRIPHAMMER RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-1551
Country	:	US
Telephone Number	:	201-424-2349
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2014
Last Update Date	:	05/27/2022

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