TRACY DURKIN, LCSW
NPI 1568966430
Community/Behavioral Health in Tinton Falls, NJ

NPI Status: Active since March 23, 2018

Contact Information

628 SHREWSBURY AVE
TINTON FALLS, NJ
ZIP 07701
Phone: (732) 758-0550
Fax: (732) 758-0280

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  • Organization
  • Community/Behavioral Health

About TRACY DURKIN, LCSW

This page provides the complete NPI Profile along with additional information for Tracy Durkin, Lcsw, a provider established in Tinton Falls, New Jersey operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1568966430 assigned on March 2018. The practitioner's primary taxonomy code is 251S00000X with license number 44SC01169800 (NJ). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Tracy Durkin, Lcsw. The authorized official of this NPI record is Tracy Durkin Lcsw (Owner)

NPI
1568966430
Provider Legal Name
TRACY DURKIN, LCSW INC.
Other Organization Name
TRACY DURKIN, LCSW
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
628 SHREWSBURY AVE TINTON FALLS, NJ 07701
Location Phone
(732) 758-0550
Location Fax
(732) 758-0280
Mailing Address
628 SHREWSBURY AVE TINTON FALLS, NJ 07701
Mailing Phone
(732) 758-0550
Mailing Fax
(732) 758-0280
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-23-2018
Last Update Date
03-23-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
44SC01169800
License State
NJ
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TRACY DURKIN LCSW

Authorized Official Title
OWNER
Authorized Official Phone
(732) 758-0550

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568966430
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251281861246
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 8 + 6 + 1 + 2 + 4 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1568966430 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114101037BAYSHORE OPHTHALMOLOGY, LLC
Organization
Ophthalmology628 SHREWSBURY AVE
TINTON FALLS, NJ 07701
(732) 842-2288
1962642223 TRACY DURKIN LCSW
Individual
Social Worker (Clinical)628 SHREWSBURY AVE SUITE 9
TINTON FALLS, NJ 07701
(732) 758-0550
1225474521RED BANK REJUVENATION
Organization
Specialist628 SHREWSBURY AVE SUITE C
TINTON FALLS, NJ 07701
(732) 383-8747

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568966430, enumerated in the NPI registry as an "organization" on March 23, 2018

The provider is located at 628 Shrewsbury Ave Tinton Falls, Nj 07701 and the phone number is (732) 758-0550

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

This NPI record was last updated on March 23, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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