Provider Demographics
NPI:1154017507
Name:DURAND, JESUS HUMBERTO (LMSW, LSW, LCADC)
Entity type:Individual
Prefix:MR
First Name:JESUS
Middle Name:HUMBERTO
Last Name:DURAND
Suffix:
Gender:M
Credentials:LMSW, LSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50D NORTHGATE MNR # 50D
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14616-2616
Mailing Address - Country:US
Mailing Address - Phone:585-329-3683
Mailing Address - Fax:
Practice Address - Street 1:260 CALKINS RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-4210
Practice Address - Country:US
Practice Address - Phone:585-313-8692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker