Provider Demographics
NPI:1639215726
Name:DUKAY, BETTY LEWIS (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:BETTY
Middle Name:LEWIS
Last Name:DUKAY
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 E ASH ST
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27530-5202
Mailing Address - Country:US
Mailing Address - Phone:919-778-8551
Mailing Address - Fax:919-778-8552
Practice Address - Street 1:1410 E ASH ST
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27530-5202
Practice Address - Country:US
Practice Address - Phone:919-778-8551
Practice Address - Fax:919-778-8552
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0044801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC779809000OtherMAGELLAN
NC138PHOtherBLUE CROSS BLUE SHIELD
NC28 37146770OtherTRICARE
NC6002955Medicaid
NC7256655OtherAETNA
NC7256655OtherAETNA