Individual provider Active NPI

Christine Joy Durkin, LCSW

  • Clinical Social Worker
  • Lake Mary, FL
National Provider Identifier
1013236728
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 9891 Issued in FL
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

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LCSW 9891FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rega Mental Health Center, LLC CurrentSince Feb 27, 2022 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.

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.

Verify at the official NPI Registry.