Active NPI
George William Duran, LISW
- Clinical Social Worker
- Las Cruces, NM
National Provider Identifier
1225165566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-3577
- Practice address
- 747 Kelli Cir
Las Cruces, NM 88007-5219 - Phone
- (575) 635-8150
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | I3577 | NM | |
| Clinical Social Worker | 1041C0700X | I-3577 | NM | Primary |
Addresses
Primary practice location
747 Kelli Cir
Las Cruces, NM 88007-5219
Mailing address
747 Kelli Cir
Las Cruces, NM 88007-5219
Phone (575) 635-8150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T7908 | Medicaid | NM |
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 |
|---|---|---|---|
| I-3577 | NM | MD | Clinical Social Worker |
| I3577 | NM | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422835200000",
"number": "1225165566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 KELLI CIR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880075219",
"telephone_number": "575-635-8150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 KELLI CIR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880075219",
"telephone_number": "575-635-8150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURAN",
"first_name": "GEORGE",
"middle_name": "WILLIAM",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2015-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NM",
"license": "I3577",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I-3577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T7908",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.