Active NPI
Constance Durden, LMSW
- Clinical Social Worker
- Detroit, MI
National Provider Identifier
1538668595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801020795
- Practice address
- 19940 Conant Suite B
Detroit, MI 48234 - NPI assigned
- Feb 6, 2018
- Last updated
- Mar 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 6801020795 | MI | Primary |
Addresses
Primary practice location
19940 Conant Suite B
Detroit, MI 48234
Mailing address
19966 Goddard St
Detroit, MI 48234-1343
Phone (313) 828-7335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6801020795 | Other | MI | LICENSE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Medical Home Physicians PLC | Past | Accepting new patients | |
| Fountain of Love Assisted Living Sevices Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520380800000",
"number": "1538668595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19966 GODDARD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482341343",
"telephone_number": "313-828-7335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19940 CONANT SUITE B",
"city": "DETROIT",
"state": "MI",
"postal_code": "48234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURDEN",
"first_name": "CONSTANCE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-06",
"last_updated": "2018-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801020795",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "6801020795",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.