Active NPI
Lora Christi Dukes, LCSW
- Social Worker
- Waycross, GA
National Provider Identifier
1700487782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 14050
- Practice address
- 612 Kenwood Dr
Waycross, GA 31501-6904 - Phone
- (912) 288-8531
- NPI assigned
- Nov 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW007327 | GA | |
| Social Worker | 104100000X | 14050 | SC | Primary |
Addresses
Primary practice location
612 Kenwood Dr
Waycross, GA 31501-6904
Mailing address
612 Kenwood Dr
Waycross, GA 31501-6904
Phone (912) 288-8531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
149 Commons Way
Greenville, SC 29611-3850
Phone (864) 520-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14050 | SC | MD | Social Worker |
| CSW007327 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Itrust Wellness Group | Current | Accepting new patients | |
| Itrust Cares LLC | Past | Accepting new patients |
Locations
149 Commons Way
Greenville, SC 29611
765 Haywood Rd
Ste I
Greenville, SC 29607
121 Commons Way
Greenville, SC 29611
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Greenville, SC
- NPI 1629517222
-
- Psychiatric/Mental Health Nurse Practitioner
- Greenville, SC
- NPI 1225751068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1700487782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 KENWOOD DR",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315016904",
"telephone_number": "912-288-8531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 KENWOOD DR",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315016904",
"telephone_number": "912-288-8531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKES",
"first_name": "LORA",
"middle_name": "CHRISTI",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-05",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW007327",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "14050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waycross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.