Provider Demographics
NPI:1225288194
Name:DUKE, HEATHER SCARBOROUGH (LCSW)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:SCARBOROUGH
Last Name:DUKE
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 1:3601 MAIL SERVICE CTR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27699-3600
Mailing Address - Country:US
Mailing Address - Phone:919-715-9848
Mailing Address - Fax:
Practice Address - Street 1:3601 MAIL SERVICE CTR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27699-3600
Practice Address - Country:US
Practice Address - Phone:919-715-9848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0029511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical