Provider Demographics
NPI:1427365733
Name:DURAN, KAREN R NEMBHARD (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:R NEMBHARD
Last Name:DURAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5206 BENITO ST STE 201
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763
Mailing Address - Country:US
Mailing Address - Phone:909-764-8629
Mailing Address - Fax:800-418-1965
Practice Address - Street 1:5206 BENITO ST STE 201
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-2853
Practice Address - Country:US
Practice Address - Phone:909-764-8629
Practice Address - Fax:800-418-1965
Is Sole Proprietor?:No
Enumeration Date:2010-09-08
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA804371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAICAN888OtherLA COUNTY DMH