Individual provider Active NPI

Nancy Durkin, LICSW

  • Social Worker
  • Mansfield, MA
National Provider Identifier
1144779653
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1027570 Issued in MA
Practice address
60 Rumford Ave
Mansfield, MA 02048-2115
Phone
(508) 339-6855
NPI assigned
Sep 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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 1027570 MA Primary

Addresses

Primary practice location

60 Rumford Ave
Mansfield, MA 02048-2115

Mailing address

60 Rumford Ave
Mansfield, MA 02048-2115
Phone (508) 339-6855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1027570MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
SB Transitional Sub, LLC CurrentSince May 17, 2021 Accepting new patients

Locations

607 Pleasant St
Ste 115
Attleboro, MA 02703
Phone (508) 223-4691

103 Commercial St
Ste 2
Brockton, MA 02302

103 Commercial St
Brockton, MA 02302
Phone (508) 521-1020

1115 W Chestnut St
Ste 202
Brockton, MA 02301
Phone (508) 824-1355

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": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1144779653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 RUMFORD AVE",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020482115",
            "telephone_number": "508-339-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 RUMFORD AVE",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020482115",
            "telephone_number": "508-339-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURKIN",
        "first_name": "NANCY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "1027570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, MA

Sources for this page

Verify at the official NPI Registry.