Provider Demographics
NPI:1821059155
Name:DURBIN, BRENDA L (LCSW)
Entity Type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:L
Last Name:DURBIN
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:PO BOX 83980
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70884-3980
Mailing Address - Country:US
Mailing Address - Phone:225-292-0155
Mailing Address - Fax:844-715-7911
Practice Address - Street 1:7738 DON BUDGE AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-1710
Practice Address - Country:US
Practice Address - Phone:225-292-0155
Practice Address - Fax:844-718-7911
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA45321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical