Individual provider Active NPI

Marcus Socratese Durvin, LMSW

  • Social Worker
  • Lawton, OK
National Provider Identifier
1407768989
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
21717 Issued in OK
Practice address
1114 SW a Ave
Lawton, OK 73501-3819
Phone
(580) 357-8114
Fax
(580) 599-3567
NPI assigned
Sep 21, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 21717 OK Primary

Addresses

Primary practice location

1114 SW a Ave
Lawton, OK 73501-3819

Mailing address

1114 SW a Ave
Lawton, OK 73501-3819
Phone (580) 357-8114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1407768989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 SW A AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013819",
            "telephone_number": "580-357-8114",
            "fax_number": "580-599-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 SW A AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013819",
            "telephone_number": "580-357-8114",
            "fax_number": "580-599-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURVIN",
        "first_name": "MARCUS",
        "middle_name": "SOCRATESE",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OK",
            "license": "21717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.