MEDICARE: MS. HOLLY DUNCAN LCSW, CAC, LCADC

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	1041C0700X	Clinical Social Worker	SW21324	FL
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	100467	FL
3	1041C0700X	Clinical Social Worker	44SC05810900	NJ
4	101YA0400X	Addiction (Substance Use Disorder) Counselor	37LC00247100	NJ

General Provider Information

NPI Number	:	1407300288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HOLLY DUNCAN LCSW, CAC, LCADC

Provider Business Mailing Address
First Line	:	1713 PARK MEADOWS DR APT 4
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-3708
Country	:	US
Telephone Number	:	732-861-4982
Fax Number	:

Provider Business Practice Location Address
First Line	:	13880 SHELL POINT PLZ STE 110
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-3504
Country	:	US
Telephone Number	:	239-454-2146
Fax Number	:	239-454-2111

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

Provider Enumeration Date	:	08/09/2016
Last Update Date	:	02/12/2026

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