Provider Demographics
NPI:1497326227
Name:DOOBAY, PADMA (MSW, LCSW-A)
Entity Type:Individual
Prefix:MS
First Name:PADMA
Middle Name:
Last Name:DOOBAY
Suffix:
Gender:F
Credentials:MSW, LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 JONES FERRY RD APT H1
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-2113
Mailing Address - Country:US
Mailing Address - Phone:718-568-4439
Mailing Address - Fax:
Practice Address - Street 1:5316 HIGHGATE DR STE 221
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6629
Practice Address - Country:US
Practice Address - Phone:919-576-0084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-02
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0129911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical