Provider Demographics
NPI:1386073823
Name:DUKES, BENJAMIN (LICSW, RDT)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:
Last Name:DUKES
Suffix:
Gender:M
Credentials:LICSW, RDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6218 GEORGIA AVENUE NW #1001
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011
Mailing Address - Country:US
Mailing Address - Phone:202-579-9714
Mailing Address - Fax:
Practice Address - Street 1:6218 GEORGIA AVENUE NW #1001
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011
Practice Address - Country:US
Practice Address - Phone:202-579-9714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-05
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY739101200000X
MD149401041C0700X
VA09040084591041C0700X
DCLC500786301041C0700X
MSC84251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101200000XBehavioral Health & Social Service ProvidersDrama Therapist