Active NPI
Betty Lewis Dukay, MSW, LCSW
- Clinical Social Worker
- Goldsboro, NC
National Provider Identifier
1639215726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C004480
- Practice address
- 1410 E Ash St
Goldsboro, NC 27530-5202 - Phone
- (919) 778-8551
- Fax
- (919) 778-8552
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C004480 | NC | Primary |
Addresses
Primary practice location
1410 E Ash St
Goldsboro, NC 27530-5202
Mailing address
1410 E Ash St
Goldsboro, NC 27530-5202
Phone (919) 778-8551
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 779809000 | Other | NC | MAGELLAN |
| 138PH | Other | NC | BLUE CROSS BLUE SHIELD |
| 28 37146770 | Other | NC | TRICARE |
| 6002955 | Medicaid | NC | |
| 7256655 | Other | NC | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C004480 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastpointe Human Services | Past | Accepting new patients | |
| Family Works Psychological Center, PLLC | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Lumberton, NC
- NPI 1306058524
-
- Clinical Psychologist
- Wilmington, NC
- NPI 1063488773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223337600000",
"number": "1639215726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 E ASH ST",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275305202",
"telephone_number": "919-778-8551",
"fax_number": "919-778-8552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 E ASH ST",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275305202",
"telephone_number": "919-778-8551",
"fax_number": "919-778-8552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKAY",
"first_name": "BETTY",
"middle_name": "LEWIS",
"name_prefix": "Ms.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2008-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C004480",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "779809000",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "138PH",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "28 37146770",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6002955",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7256655",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.