Healthcare Provider Details

I. General information

NPI: 1538084512
Provider Name (Legal Business Name): DUANE FITZPATRICK ROBERTS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1903 N HARRISON AVE STE 100
CARY NC
27513-3003
US

IV. Provider business mailing address

612 SEALINE DR
CARY NC
27519-2571
US

V. Phone/Fax

Practice location:
  • Phone: 919-463-7890
  • Fax: 919-463-7665
Mailing address:
  • Phone: 404-538-4231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP024291
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: