Individual provider Active NPI

John Terry Dukes, LCSW

  • Clinical Social Worker
  • East Haven, CT
National Provider Identifier
1861699068
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003007 Issued in CT
Practice address
310 Main St
East Haven, CT 06512-2919
Phone
(203) 807-2769
Fax
(203) 404-7126
NPI assigned
Jun 29, 2007
Last updated
Dec 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 003007 CT Primary

Addresses

Primary practice location

310 Main St
East Haven, CT 06512-2919

Mailing address

310 Main St.
East Haven, CT 06512-2032
Phone (203) 807-2769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140718000199 CT Practitioner - Clinical Social Worker 4183840689 Reassigns benefits to 3 organizations
Practice locations: East Haven, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Behavioral Health Center for Counseling and Learning LLCGroup PAC ID 8729313135, 27 clinicians

Practice addresses (Care Compare)

984 Southford Rd
Middlebury, CT 06762-3234
Phone (203) 758-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003007CTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care PC LLC CurrentSince Apr 22, 2019 Accepting new patients
Behavioral Health Center for Counseling & Learning, LLC CurrentSince Apr 1, 2022 Accepting new patients
Sunrise Psychological Services LLC CurrentSince Feb 1, 2019 Accepting new patients
Compassionate Care Counseling LLC CurrentSince Apr 1, 2022 Accepting new patients

Locations

984 Southford Rd
Middlebury, CT 06762
Phone (203) 758-2400

4 Hazel Ave
Naugatuck, CT 06770
Phone (203) 720-3411

55 Grand St
New Britain, CT 06052
Phone (845) 459-5767

1000 Bridgeport Ave
Ste 202
Shelton, CT 06484
Phone (203) 712-9998

310 Terrace Ave
West Haven, CT 06516
Phone (203) 654-2100

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1861699068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MAIN ST.",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065122032",
            "telephone_number": "203-807-2769",
            "fax_number": "203-404-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MAIN ST",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065122919",
            "telephone_number": "203-807-2769",
            "fax_number": "203-404-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKES",
        "first_name": "JOHN",
        "middle_name": "TERRY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Haven, CT

Sources for this page

Verify at the official NPI Registry.