Provider Demographics
NPI:1285989723
Name:DUCHI, ANN MERRITT (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:MERRITT
Last Name:DUCHI
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 1:2660 VICTOR AVE
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-1432
Mailing Address - Country:US
Mailing Address - Phone:530-223-5122
Mailing Address - Fax:530-223-5652
Practice Address - Street 1:2660 VICTOR AVE
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-1432
Practice Address - Country:US
Practice Address - Phone:530-223-5122
Practice Address - Fax:530-223-5652
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-20
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS224471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical