Individual provider Active NPI

Jennifer Lynne Durbin, MSW

  • Clinical Social Worker
  • Orange, CA
National Provider Identifier
1942397369
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4000 W Metropolitan Dr Ste 401
Orange, CA 92868
Phone
(714) 935-7688
Fax
(714) 935-6066
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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 Primary

Addresses

Primary practice location

4000 W Metropolitan Dr Ste 401
Orange, CA 92868

Mailing address

4000 W Metropolitan Dr Ste 401
Orange, CA 92868-3504
Phone (714) 604-5912

Other practice location 1

405 W 5th St
Suite 590
Santa Ana, CA 92701-4519
Phone (714) 935-6453

Other practice location 2

4000 W Metropolitan Dr Ste 401
Orange, CA 92868
Phone (714) 935-7688

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

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1942397369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 W METROPOLITAN DR STE 401",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683504",
            "telephone_number": "714-604-5912",
            "fax_number": "714-935-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W METROPOLITAN DR STE 401",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-935-7688",
            "fax_number": "714-935-6066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 W 5th St",
            "address_2": "Suite 590",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927014519",
            "country_code": "US",
            "telephone_number": "714-935-6453",
            "fax_number": "714-935-8112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 W Metropolitan Dr Ste 401",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "92868",
            "country_code": "US",
            "telephone_number": "714-935-7688",
            "fax_number": "714-935-6066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURBIN",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.