Active NPI
Betty Jean Dudas, LCSW
- Clinical Social Worker
- Yonkers, NY
National Provider Identifier
1639833064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R072975-01
- Practice address
- 1 Executive Blvd Ste 178
Yonkers, NY 10701-6836 - Phone
- (914) 595-1482
- NPI assigned
- Oct 22, 2021
- 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 | R072975-01 | NY | Primary |
Addresses
Primary practice location
1 Executive Blvd Ste 178
Yonkers, NY 10701-6836
Mailing address
100 High Point Dr Apt 814
Hartsdale, NY 10530-4422
Phone (914) 468-3331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R072975-01 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carmel Psychological Health, PC | Clinical | Current | Accepting new patients |
Locations
1 Executive Blvd
Ste 178
Yonkers, NY 10701
Phone (914) 595-1482
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634860800000",
"number": "1639833064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HIGH POINT DR APT 814",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105304422",
"telephone_number": "914-468-3331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 EXECUTIVE BLVD STE 178",
"city": "YONKERS",
"state": "NY",
"postal_code": "107016836",
"telephone_number": "914-595-1482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDAS",
"first_name": "BETTY",
"middle_name": "JEAN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-22",
"last_updated": "2021-10-22",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R072975-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.