Provider Demographics
NPI:1932324720
Name:DUKES, MARGARET M (LMSW)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:M
Last Name:DUKES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:M
Other - Last Name:HENRY-DUKES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CADC
Mailing Address - Street 1:PO BOX 153004
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33684-3004
Mailing Address - Country:US
Mailing Address - Phone:785-341-4749
Mailing Address - Fax:
Practice Address - Street 1:13000 BRUCE B DOWNS BLVD # 116A
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-4745
Practice Address - Country:US
Practice Address - Phone:813-801-3910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSCERTIFICATION101YA0400X
KS4586104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSCERTOtherCADC
KS4586OtherLMSW