Active NPI
Jessica Steinbook Durando, LCSW
- Clinical Social Worker
- Atlanta, GA
National Provider Identifier
1316211642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW004623
- Practice address
- 4200 Northside Pkwy NW BLDG 6
Atlanta, GA 30327-3007 - Phone
- (678) 361-8572
- NPI assigned
- Mar 5, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW10530 | FL | |
| Clinical Social Worker | 1041C0700X | CSW004623 | GA | Primary |
Addresses
Primary practice location
4200 Northside Pkwy NW BLDG 6
Atlanta, GA 30327-3007
Mailing address
2187 Tully Wren NE
Marietta, GA 30066-4554
Phone (678) 361-8572
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 |
|---|---|---|---|
| SW10530 | FL | MD | Clinical Social Worker |
| CSW004623 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1316211642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2187 TULLY WREN NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300664554",
"telephone_number": "678-361-8572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 NORTHSIDE PKWY NW BLDG 6",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303273007",
"telephone_number": "678-361-8572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURANDO",
"first_name": "JESSICA",
"middle_name": "STEINBOOK",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-05",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW10530",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW004623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.