Ellet Durbin

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P011318 Issued in NC

Practice address

10 Crispin CT Ste 203D
Asheville, NC 28803-8205

Phone

(828) 450-0111

NPI assigned

Jan 9, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Joshuas House

  • Community/Behavioral Health Agency
  • Louisville, KY
  • NPI 1013695352

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1174096440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CRISPIN CT STE 203D",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288038205",
            "telephone_number": "828-450-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CRISPIN CT STE 203D",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288038205",
            "telephone_number": "828-450-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURBIN",
        "first_name": "ELLET",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P011318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSWA",
            "identifier": "P011318",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Dunn, CADC, PSS, CRS
• Mark Dunn
• Annette Marie Dupont
• Kayleigh Amanda Duprel, PT
• Meghan Duquette, PHARMD
• Russell Thomas Durden, MSN, APRN, AGACNP-BC
• Ashley Victoria Durham, APRN
• Barbara D Durham, A.N.P.
• Cecil T Durham Jr., MD
• Lawson Baker Durham

• Clinical Social Worker in Asheville, NC
• Providers in Asheville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.