Active NPI
Christine Joy Durkin, LCSW
- Clinical Social Worker
- Lake Mary, FL
National Provider Identifier
1013236728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW 9891
- Practice address
- 2601 W Lake Mary Blvd Ste 113
Lake Mary, FL 32746-3567 - Phone
- (407) 328-1005
- Fax
- (407) 328-1005
- NPI assigned
- May 19, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW 9891 | FL | Primary |
Addresses
Primary practice location
2601 W Lake Mary Blvd Ste 113
Lake Mary, FL 32746-3567
Mailing address
4539 Cemetery Rd
Mount Dora, FL 32757-7708
Phone (321) 663-6059
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW 9891 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rega Mental Health Center, LLC | Current | Accepting new patients |
Locations
2601 W Lake Mary Blvd
Ste 113
Lake Mary, FL 32746
Phone (407) 328-1005
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Lake Mary, FL
- NPI 1356012264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1013236728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4539 CEMETERY RD",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327577708",
"telephone_number": "321-663-6059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 W LAKE MARY BLVD STE 113",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327463567",
"telephone_number": "407-328-1005",
"fax_number": "407-328-1005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURKIN",
"first_name": "CHRISTINE",
"middle_name": "JOY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-19",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "LCSW 9891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.