Individual provider Active NPI

Jennifer Francine Durban, LCSW

  • Clinical Social Worker
  • Laguna Niguel, CA
National Provider Identifier
1346962958
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105881 Issued in CA
Practice address
30131 Town Center Dr Ste 280
Laguna Niguel, CA 92677-2086
Phone
(513) 349-8114
NPI assigned
Sep 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 105881 CA Primary

Addresses

Primary practice location

30131 Town Center Dr Ste 280
Laguna Niguel, CA 92677-2086

Mailing address

10 Livingston PL
Ladera Ranch, CA 92694-0615
Phone (513) 349-8114

Other names 1

  • Jennifer Francine Dargavel Former name

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

LicenseStateTypeSpecialty
105881CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1346962958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LIVINGSTON PL",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926940615",
            "telephone_number": "513-349-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR STE 280",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772086",
            "telephone_number": "513-349-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURBAN",
        "first_name": "JENNIFER",
        "middle_name": "FRANCINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "105881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DARGAVEL",
            "middle_name": "FRANCINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.