Provider Demographics
NPI:1639833064
Name:DUDAS, BETTY JEAN (LCSW)
Entity Type:Individual
Prefix:
First Name:BETTY
Middle Name:JEAN
Last Name:DUDAS
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 1:100 HIGH POINT DR APT 814
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-4422
Mailing Address - Country:US
Mailing Address - Phone:914-468-3331
Mailing Address - Fax:
Practice Address - Street 1:1 EXECUTIVE BLVD STE 178
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-6836
Practice Address - Country:US
Practice Address - Phone:914-595-1482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-22
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR072975-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical