MS. JACQUELINE DURHAM MSW, LCSW
NPI 1609235498
Social Worker - Clinical in Red Bank, NJ
About Ms. Jacqueline Durham Msw, Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JACQUELINE DURHAM MSW, LCSW (NPI 1609235498) is an individual clinical provider in Red Bank, New Jersey, licensed in New Jersey (44SC05537200) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Jacqueline Durham Msw, Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jacqueline Durham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacqueline Durham's NPI number?
The NPI number for Jacqueline Durham is 1609235498. It was assigned to this individual provider in the NPPES registry on February 22, 2016.
Where is Jacqueline Durham located?
Jacqueline Durham practices at 214 Broad St Ste 2, Red Bank, NJ 07701. The listed phone number is (732) 690-2611.
What is Jacqueline Durham's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Jacqueline Durham enrolled in Medicare?
Yes. Jacqueline Durham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jacqueline Durham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Durham reassigns Medicare benefits to Jacqueline Durham, LLC. (Red Bank, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Durham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacqueline Durham accept?
Health plans from Oscar Health list Jacqueline Durham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jacqueline Durham was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Jacqueline Durham, MSW, LCSW · NPI 1609235498
Clinical provider in Red Bank, New Jersey. Individual provider, active in the CMS NPPES registry since February 22, 2016.
## Identity
- **NPI:** 1609235498 (Entity type: Individual)
- **Enumerated:** February 22, 2016
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 44SC05537200 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 214 BROAD ST STE 2, Red Bank, NJ 07701-2027
- **Phone:** (732) 690-2611
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Jacqueline Durham, LLC. (NPI 1295392850, Red Bank, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** October 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1609235498) · Data from the CMS NPPES public registry.