Individual provider Active NPI

Dina Marie Duden, MSW, LCSW

  • Clinical Social Worker
  • Bristol, TN
National Provider Identifier
1467609248
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5763 Issued in TN
Practice address
26 Midway St
Bristol, TN 37620-1706
Phone
(423) 989-4500
Fax
(423) 467-3644
NPI assigned
Aug 22, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5763 TN Primary
Counselor 101Y00000X

Addresses

Primary practice location

26 Midway St
Bristol, TN 37620-1706

Mailing address

PO Box 9054
Gray, TN 37615-9054
Phone (423) 467-3600

Other practice location 1

1570 Waverly Rd
Kingsport, TN 37664-2523
Phone (423) 224-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130520000413 TN Practitioner - Clinical Social Worker 6901043579 Reassigns benefits to 1 organization
I20240821000830 OH Practitioner - Clinical Social Worker 6901043579 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1715 Indian Wood Cir
Suite 200
Maumee, OH 43537-4055
Phone (877) 906-9699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Psychiatric Services PLLC CurrentSince Dec 13, 2024 Accepting new patients
Sailor Health Medical PA Counselor CurrentSince Jul 31, 2026 Accepting new patients
Resurrection Health Current Accepting new patients
Geriatric Psychiatric Services PLLC CurrentSince Dec 13, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Oct 8, 2024 Accepting new patients
Harbor Counselor CurrentSince Apr 27, 2024 Accepting new patients
Cherokee Health Systems Current Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

1715 Indian Wood Cir
Ste 200
Maumee, OH 43537
Phone (216) 770-9367

7140 Port Sylvania Dr
Toledo, OH 43617
Phone (567) 408-7242

123 22nd St
Toledo, OH 43604
Phone (419) 241-6191

3909 Woodley Rd
Toledo, OH 43606
Phone (419) 725-3330

6200 Hospitality Dr
Franklin, TN 37067
Phone (240) 200-0173

2574 Frayser Blvd
Memphis, TN 38127
Phone (901) 271-9500

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467609248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9054",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376159054",
            "telephone_number": "423-467-3600",
            "fax_number": "423-467-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 MIDWAY ST",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201706",
            "telephone_number": "423-989-4500",
            "fax_number": "423-467-3644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1570 Waverly Rd",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376642523",
            "country_code": "US",
            "telephone_number": "423-224-1300",
            "fax_number": "423-467-3644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDEN",
        "first_name": "DINA",
        "middle_name": "MARIE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5763",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

Verify at the official NPI Registry.