Active NPI
Gloria Ilene Durocher, L.M.S.W.
- Clinical Social Worker
- Grosse Pointe Farms, MI
National Provider Identifier
1306952288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801064128
- Practice address
- 131 Kercheval Ave
390
Grosse Pointe Farms, MI 48236-3629 - Phone
- (313) 885-6400
- Fax
- (313) 885-6807
- NPI assigned
- Aug 22, 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 | 6801064128 | MI | Primary |
Addresses
Primary practice location
131 Kercheval Ave
390
Grosse Pointe Farms, MI 48236-3629
Mailing address
131 Kercheval Ave
390
Grosse Pointe Farms, MI 48236-3629
Phone (313) 885-6400
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801064128 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downriver Mental Health Clinic PC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306952288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 KERCHEVAL AVE",
"address_2": "390",
"city": "GROSSE POINTE FARMS",
"state": "MI",
"postal_code": "482363629",
"telephone_number": "313-885-6400",
"fax_number": "313-885-6807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 KERCHEVAL AVE",
"address_2": "390",
"city": "GROSSE POINTE FARMS",
"state": "MI",
"postal_code": "482363629",
"telephone_number": "313-885-6400",
"fax_number": "313-885-6807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUROCHER",
"first_name": "GLORIA",
"middle_name": "ILENE",
"credential": "L.M.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801064128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grosse Pointe Farms, MI
Sources for this page
- 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.