Provider Demographics
NPI:1316970460
Name:DUHAIME, JOAN ENOS (LCSW)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:ENOS
Last Name:DUHAIME
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 1:308 WOODBERRY DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-5740
Mailing Address - Country:US
Mailing Address - Phone:757-482-1075
Mailing Address - Fax:757-547-3591
Practice Address - Street 1:229 MOUNT PLEASANT RD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-4157
Practice Address - Country:US
Practice Address - Phone:757-482-1075
Practice Address - Fax:757-547-3591
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040017081041C0700X
NCC0026721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical