Michael G Durben, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1024153 Issued in MA

Practice address

881 Main St
Fitchburg, MA 01420-3057

Phone

(617) 839-3029

NPI assigned

Jun 23, 2010

Last updated

Sep 15, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• North Central Human Serv Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Gardner, MA
  • NPI 1982736633
  NPD (past)

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1003127200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MULBERRY CIR",
            "city": "AYER",
            "state": "MA",
            "postal_code": "014321558",
            "telephone_number": "978-772-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 MAIN ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014203057",
            "telephone_number": "617-839-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURBEN",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-23",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1024153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynne Dumais, MA
• Michaela Dumais, PMHNP
• Stacey Dumezil
• Diahann Duncan
• Denae Reese Dupree
• Karl Durston
• Emily Dwyer
• Lyric Eady
• Felicia Eckert
• Andrea Edwards, LICSW

• Clinical Social Worker in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.