Active NPI
Juanita Duran-Wilson, LCSW, ATR-BC
- Clinical Social Worker
- Eureka, CA
National Provider Identifier
1013262211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 27972
- Practice address
- 930 W Harris St
Eureka VA Cboc
Eureka, CA 95503-3927 - Phone
- (707) 269-2825
- Fax
- (707) 269-7556
- NPI assigned
- Jul 13, 2012
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 27972 | CA | Primary |
Addresses
Primary practice location
930 W Harris St
Eureka VA Cboc
Eureka, CA 95503-3927
Mailing address
PO Box 203
Arcata, CA 95518-0203
Phone (707) 601-8311
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 |
|---|---|---|---|
| 27972 | CA | MD | Critical Care Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482192000000",
"number": "1013262211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 203",
"city": "ARCATA",
"state": "CA",
"postal_code": "955180203",
"telephone_number": "707-601-8311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 W HARRIS ST",
"address_2": "EUREKA VA CBOC",
"city": "EUREKA",
"state": "CA",
"postal_code": "955033927",
"telephone_number": "707-269-2825",
"fax_number": "707-269-7556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURAN-WILSON",
"first_name": "JUANITA",
"credential": "LCSW, ATR-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-13",
"last_updated": "2016-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "27972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.