Provider Demographics
NPI:1144259524
Name:DOUCET, NANCY JOAN (LCSW)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:JOAN
Last Name:DOUCET
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:PO BOX 54504
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92619-4504
Mailing Address - Country:US
Mailing Address - Phone:949-559-8240
Mailing Address - Fax:949-481-2971
Practice Address - Street 1:6 VENTURE
Practice Address - Street 2:STE 350
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-7350
Practice Address - Country:US
Practice Address - Phone:949-559-8240
Practice Address - Fax:949-481-2971
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2017-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS151621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical