Active NPI
Kristen M Durand, LICSW
- Social Worker
- Marblehead, MA
National Provider Identifier
1003013228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 213481
- Practice address
- 7 Rose Ave
Marblehead, MA 01945-1821 - Phone
- (617) 642-4989
- NPI assigned
- Jun 29, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 213481 | MA | Primary |
Addresses
Primary practice location
7 Rose Ave
Marblehead, MA 01945-1821
Mailing address
7 Rose Ave
Marblehead, MA 01945-1821
Phone (617) 642-4989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213481 | MA | MD | Pediatrics Physician |
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": "1650844800000",
"number": "1003013228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 ROSE AVE",
"city": "MARBLEHEAD",
"state": "MA",
"postal_code": "019451821",
"telephone_number": "617-642-4989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 ROSE AVE",
"city": "MARBLEHEAD",
"state": "MA",
"postal_code": "019451821",
"telephone_number": "617-642-4989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURAND",
"first_name": "KRISTEN",
"middle_name": "M",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2022-04-25",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "213481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marblehead, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.