Connie Lunnen Durham, MS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C003596 Issued in NC

Practice address

326 River Bank LN
Greenville, NC 27834-7327

Phone

(252) 355-6311

NPI assigned

Mar 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Connie Lunnen Durham Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Dr. Judith S. Yongue

  • Psychiatry Physician
  • Greenville, NC
  • NPI 1033210521
  NPD (past)
• Greenville Psychiatric Associates, PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenville, NC
  • NPI 1043263528
  NPD (past)
• Mindpath Care Centers, North Carolina, PLLC

  • Psychiatry Physician
  • Durham, NC
  • NPI 1508803214

  Clinical

  NPD (past)

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295859163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 COMMERCE ST",
            "address_2": "SUITE D",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585027",
            "telephone_number": "252-355-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 RIVER BANK LN",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347327",
            "telephone_number": "252-355-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "CONNIE",
        "middle_name": "LUNNEN",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "DURHAM",
            "middle_name": "LUNNEN",
            "prefix": "MS.",
            "credential": "MSW, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Duprees Enterprise LLC
• Adriana Duran, APRN
• Jessica Durdon
• Durham Vamc
• Durham Vamc
• Courtney Lyn Durham, SLP
• Thomas Wesley Durham, PHD
• Alexander Nathaniel Durland, DPT, CSCS
• Alexandra Anne Durrett, PT, DPT
• Ashton Ayala Duty

• Clinical Social Worker in Greenville, NC
• Providers in Greenville, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.