Individual provider Active NPI

Yvette Lorraine Durrett, MSW, LCSW

  • Social Worker
  • Shrewsbury, NJ
National Provider Identifier
1073631214
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SC05262500 Issued in NJ
Practice address
621 Shrewsbury Ave Ste 115
Shrewsbury, NJ 07702-4181
Phone
(732) 670-3999
NPI assigned
Mar 26, 2007
Last updated
May 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SC05262500 NJ Primary

Addresses

Primary practice location

621 Shrewsbury Ave Ste 115
Shrewsbury, NJ 07702-4181

Mailing address

6 Sycamore Dr
Hazlet, NJ 07730-1833
Phone (732) 670-3999

Other names 1

  • Y Lorraine Durrett Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120529000357 NJ Practitioner - Clinical Social Worker 2769645886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hazlet, NJ 07730
Phone (732) 670-3999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05262500NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Y Lorraine Durrett LLC CurrentSince May 16, 2005 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1073631214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SYCAMORE DR",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301833",
            "telephone_number": "732-670-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 SHREWSBURY AVE STE 115",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024181",
            "telephone_number": "732-670-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURRETT",
        "first_name": "YVETTE",
        "middle_name": "LORRAINE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC05262500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "Y",
            "last_name": "DURRETT",
            "middle_name": "LORRAINE",
            "credential": "MSW, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.