Individual provider Active NPI

Lataya Elaine Duren, LCSW

  • Clinical Social Worker
  • Fort Belvoir, VA
National Provider Identifier
1942291182
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34994 Issued in TX
Practice address
9501 Farrell Rd
Dept of Behavorial Health, Dewitt Army Hospital
Fort Belvoir, VA 22060-5901
Phone
(703) 805-0110
NPI assigned
Nov 4, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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 34994 TX Primary

Addresses

Primary practice location

9501 Farrell Rd
Dept of Behavorial Health, Dewitt Army Hospital
Fort Belvoir, VA 22060-5901

Mailing address

17306 Brookhollow Grove CT
Houston, TX 77084-6046
Phone (713) 775-1155

Other names 1

  • Mrs. Lataya Elaine Hawkins Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34994TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1942291182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17306 BROOKHOLLOW GROVE CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770846046",
            "telephone_number": "713-775-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 FARRELL RD",
            "address_2": "DEPT OF BEHAVORIAL HEALTH, DEWITT ARMY HOSPITAL",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220605901",
            "telephone_number": "703-805-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUREN",
        "first_name": "LATAYA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "34994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATAYA",
            "last_name": "HAWKINS",
            "middle_name": "ELAINE",
            "prefix": "MRS.",
            "credential": "LCSW, BCD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Belvoir, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.