MEDICARE: CLAUDIA JUDITH DUARTE 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	1041C0700X	Clinical Social Worker	SWB-2023-0382	NM

General Provider Information

NPI Number	:	1497519763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA JUDITH DUARTE LCSW

Provider Business Mailing Address
First Line	:	3751 DEL REY BLVD
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88012-8526
Country	:	US
Telephone Number	:	575-382-4979
Fax Number	:

Provider Business Practice Location Address
First Line	:	3751 DEL REY BLVD
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88012-8526
Country	:	US
Telephone Number	:	575-382-4979
Fax Number	:

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

Provider Enumeration Date	:	02/07/2024
Last Update Date	:	02/07/2024

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