Provider Demographics
NPI:1780826107
Name:DUKES, JEANNE MICHELLE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:MICHELLE
Last Name:DUKES
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 588
Mailing Address - Street 2:
Mailing Address - City:NASSAU
Mailing Address - State:DE
Mailing Address - Zip Code:19969-0588
Mailing Address - Country:US
Mailing Address - Phone:302-430-2127
Mailing Address - Fax:
Practice Address - Street 1:32413 LEWES GEORGETOWN HWY
Practice Address - Street 2:SUITE 2
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1646
Practice Address - Country:US
Practice Address - Phone:302-430-2127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-31
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00009071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical