Healthcare Provider Details

I. General information

NPI: 1669606364
Provider Name (Legal Business Name): CATHERINE A. DUCA MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2009
Last Update Date: 05/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

62 SUMMIT AVE
HACKENSACK NJ
07601-8562
US

IV. Provider business mailing address

67 DRYDEN RD
UPPER MONTCLAIR NJ
07043-2420
US

V. Phone/Fax

Practice location:
  • Phone: 201-952-1543
  • Fax:
Mailing address:
  • Phone: 201-952-1543
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC01432500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: