Active NPI
Dara Duryea, LCSW
- Clinical Social Worker
- Succasunna, NJ
National Provider Identifier
1164538443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC04409500
- Practice address
- 225 Route 10 E Ste 201
Succasunna, NJ 07876 - Phone
- (973) 519-1647
- NPI assigned
- Aug 21, 2006
- 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 | 44SC04409500 | NJ | Primary |
Addresses
Primary practice location
225 Route 10 E Ste 201
Succasunna, NJ 07876
Mailing address
225 Route 10 E Ste 201
Succasunna, NJ 07876-1300
Phone (973) 519-1647
Other practice location 1
150 New Providence Rd
Mountainside, NJ 07092-2590
Phone (908) 233-3720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44SC04409500 | Other | NJ | STATE LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC04409500 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darmark, Inc. | Clinical | Past | 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 and National Provider Directory roles.
-
- Clinical Social Worker
- Succasunna, NJ
- NPI 1437644184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529539200000",
"number": "1164538443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 ROUTE 10 E STE 201",
"city": "SUCCASUNNA",
"state": "NJ",
"postal_code": "078761300",
"telephone_number": "973-519-1647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 ROUTE 10 E STE 201",
"city": "SUCCASUNNA",
"state": "NJ",
"postal_code": "07876",
"telephone_number": "973-519-1647"
}
],
"practiceLocations": [
{
"address_1": "150 New Providence Rd",
"address_purpose": "LOCATION",
"city": "Mountainside",
"state": "NJ",
"postal_code": "070922590",
"country_code": "US",
"telephone_number": "908-233-3720",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DURYEA",
"first_name": "DARA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2018-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC04409500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "44SC04409500",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Succasunna, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.