Healthcare Provider Details

I. General information

NPI: 1972142867
Provider Name (Legal Business Name): MS. FEMME M DUNCAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/26/2019
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69 HOMEFIELD AVE
PROVIDENCE RI
02908-1809
US

IV. Provider business mailing address

69 HOMEFIELD AVE
PROVIDENCE RI
02908-1809
US

V. Phone/Fax

Practice location:
  • Phone: 347-276-2861
  • Fax:
Mailing address:
  • Phone: 347-276-2861
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW04155
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberISW04155
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: