Active NPIIndividual providerSole proprietor

Ms. Jacqueline Durham, MSW, LCSW

Social Worker, Clinical in Red Bank, New Jersey

NPI Number1609235498
Practice location
214 Broad St Ste 2, Red Bank, NJ 07701-2027
Fax
—
Last updated
October 22, 2024

Jacqueline Durham is a Social Worker, Clinical based in Red Bank, NJ. Jacqueline Durham practices in Red Bank, NJ and has the professional credentials of MSW, LCSW. The NPI Number for Jacqueline Durham is 1609235498 and holds a License No. 44SC05537200 (NJ). The current practice location address for Jacqueline Durham is 214 Broad St Ste 2, Red Bank, NJ 07701-2027 and can be reached out via phone at 732-690-2611.

Provider Profile Details

NPI Number
1609235498
Provider Name
Jacqueline Durham
Credential
MSW, LCSW
Provider Entity Type
Individual
Gender
Female
Address
214 Broad St Ste 2, Red Bank, NJ 07701-2027
Phone Number
732-690-2611
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 22, 2016
Last Update Date
October 22, 2024
Certification Date
October 22, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
214 Broad St Ste 2
Red Bank, NJ 07701-2027
Zip
07701-2027
Phone Number
732-690-2611
Red Bank, NJ 07701Get directions →

Provider Business Mailing Address Details

Address
214 Broad St
Red Bank, NJ 07701-2026
City
Red Bank
State
NJ
Zip
07701-2026
Phone Number
732-690-2611

License Information

License Number
44SC05537200
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Jacqueline Durham, MSW, LCSW?

The NPI number of Ms. Jacqueline Durham, MSW, LCSW is 1609235498. It was assigned on February 22, 2016 and is currently active in the NPPES registry.

What is the specialty of Ms. Jacqueline Durham, MSW, LCSW?

Ms. Jacqueline Durham, MSW, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05537200.

Where does Ms. Jacqueline Durham, MSW, LCSW practice?

The practice location is 214 Broad St Ste 2, Red Bank, NJ 07701-2027. The office can be reached at 732-690-2611 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609235498 directly on the NPPES registry website.

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