Provider Demographics
NPI:1285886739
Name:DUPHINEY-EMANUEL, JEANNE M (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:M
Last Name:DUPHINEY-EMANUEL
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 MCGREGOR AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT ARLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07856-1007
Mailing Address - Country:US
Mailing Address - Phone:973-663-9219
Mailing Address - Fax:
Practice Address - Street 1:202 MAIN ST
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:LEDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07852-2613
Practice Address - Country:US
Practice Address - Phone:973-663-9698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC045799001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical