Provider Demographics
NPI:1215098280
Name:DUFF, CLAUDETTE V (LCSW)
Entity type:Individual
Prefix:MS
First Name:CLAUDETTE
Middle Name:V
Last Name:DUFF
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2381 HYLAN BLVD STE 13
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-3145
Mailing Address - Country:US
Mailing Address - Phone:718-494-2858
Mailing Address - Fax:718-494-5749
Practice Address - Street 1:2381 HYLAN BLVD STE 13
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-3145
Practice Address - Country:US
Practice Address - Phone:718-494-2858
Practice Address - Fax:718-494-5749
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0711711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03982583Medicaid
NY02561237Medicaid
NY02561237Medicaid