Individual provider Active NPI

Becky Taylor Durham-Flint, MSW,LCSW

  • Clinical Social Worker
  • Indialantic, FL
National Provider Identifier
1851328470
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000389 Issued in FL
Practice address
105 S Riverside Dr
Suite 100
Indialantic, FL 32903-4365
Phone
(321) 733-2299
Fax
(321) 733-7515
NPI assigned
Jun 27, 2006
Last updated
Feb 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 000389 FL Primary

Addresses

Primary practice location

105 S Riverside Dr
Suite 100
Indialantic, FL 32903-4365

Mailing address

105 S Riverside Dr
Suite 100
Indialantic, FL 32903-4365
Phone (321) 733-2299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100224000419 FL Practitioner - Clinical Social Worker 1456495795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 S Riverside Dr
Suite 122 Becky Durham Flint
Indialantic, FL 32903-4321
Phone (321) 733-2299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000389FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Becky Durham-Flint, P.a. CurrentSince Nov 9, 2009 Accepting new patients

Locations

105 S Riverside Dr
Ste 100
Indialantic, FL 32903
Phone (321) 733-2299

105 S Riverside Dr
Ste 122
Indialantic, FL 32903
Phone (321) 506-4224

Organizations & group practices 1

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1851328470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S RIVERSIDE DR",
            "address_2": "SUITE 100",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034365",
            "telephone_number": "321-733-2299",
            "fax_number": "321-733-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S RIVERSIDE DR",
            "address_2": "SUITE 100",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034365",
            "telephone_number": "321-733-2299",
            "fax_number": "321-733-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM-FLINT",
        "first_name": "BECKY",
        "middle_name": "TAYLOR",
        "name_prefix": "Ms.",
        "credential": "MSW,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "000389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indialantic, FL

Sources for this page

Verify at the official NPI Registry.