Berttina Labritte Duncan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005372 Issued in NC

Practice address

190 Kimel Park Dr
122Q
Winston-Salem, NC 27103-6946

Phone

(336) 768-3296

Fax

(336) 760-5484

NPI assigned

Mar 22, 2006

Last updated

Jun 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1417916966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 PINE COVE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271276139",
            "telephone_number": "336-403-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 KIMEL PARK DR",
            "address_2": "122Q",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271036946",
            "telephone_number": "336-768-3296",
            "fax_number": "336-760-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "BERTTINA",
        "middle_name": "LABRITTE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Amanda Dunagan, RDN, LD
• Alston Elmo Dunbar III, M.D.
• Tricia Everlise Duncan-McKoy, P.T.
• Asajah Duncan, PHARMD
• Avery Michael Duncan, MD
• David Allen Duncan, MD
• Kyle James Duncan
• Matthew Duncan
• Matthew Hardie Duncan, LCSW, LCAS
• David Thomas Dundee, MD, CMD

• Clinical Social Worker in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.