Active NPI
Darren D McKinnis, MSW, LCSW,LISW
- Clinical Social Worker
- Durango, CO
National Provider Identifier
1548437403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 814
- Practice address
- 736 Main Ave Ste 2
Durango, CO 81301-5541 - Phone
- (970) 676-1029
- NPI assigned
- May 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | X-06197 | NM | |
| Clinical Social Worker | 1041C0700X | 814 | CO | Primary |
Addresses
Primary practice location
736 Main Ave Ste 2
Durango, CO 81301-5541
Mailing address
102 Hidden Treasure
Durango, CO 81301-9442
Phone (970) 764-4170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2019 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X-06197 | NM | MD | Clinical Social Worker |
| 814 | CO | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301529600000",
"number": "1548437403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 HIDDEN TREASURE",
"city": "DURANGO",
"state": "CO",
"postal_code": "813019442",
"telephone_number": "970-764-4170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 MAIN AVE STE 2",
"city": "DURANGO",
"state": "CO",
"postal_code": "813015541",
"telephone_number": "970-676-1029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNIS",
"first_name": "DARREN",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "MSW, LCSW,LISW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-09",
"last_updated": "2011-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "X-06197",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.