Roye King Durden Jr., MSW LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S0017942 Issued in OH

Practice address

1645 Indian Wood Cir
Suite 202
Maumee, OH 43537-4400

Phone

(419) 794-0567

Fax

(419) 794-0569

NPI assigned

May 8, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Personal Growth Counseling Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Toledo, OH
  • NPI 1801601984
  NPD Authorized official
• Personal Growth Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Toledo, OH
  • NPI 1023776028
  NPD
• The Toledo Hospital

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1407854771
  NPD (past)

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1568639680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 INDIAN WOOD CIR",
            "address_2": "SUITE 202",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374400",
            "telephone_number": "419-794-0567",
            "fax_number": "419-794-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 INDIAN WOOD CIR",
            "address_2": "SUITE 202",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374400",
            "telephone_number": "419-794-0567",
            "fax_number": "419-794-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURDEN",
        "first_name": "ROYE",
        "middle_name": "KING",
        "name_suffix": "Jr.",
        "credential": "MSW LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S0017942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL ASSOCIATION OF SOCIAL WORKERS",
            "identifier": "886495296",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED SOCIAL WORKER",
            "identifier": "S0017942",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Jordan Duckett, D.O.
• Timothy George Duckett
• Olivia Dunbar, LISW-S
• Christina Lynn Dunlap, RN
• Rachel Lynn Dunn, M.A. CCC-SLP
• Lindesy Eagleston
• James Jeffrey Earle, MAE; MRC; LPCC
• Edp of Ohio, PC
• Jazmine M Edwards, RN
• Alexia Ehrsam, RBT

• Clinical Social Worker in Maumee, OH
• Providers in Maumee, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.