Jessica Durham
NPI 1285105452 · Social Worker · Waterbury, CT
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jessica Durham is a Social Worker provider in Waterbury, CT (NPI 1285105452).
Provider details
- NPI number
- 1285105452
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
40 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychiatric Diagnostic Evaluation90791 | 40 | $117 |
Typical Medicare-allowed amounts for these services range $117–$117 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-12-16
- Last updated
- 2018-12-16
Frequently asked questions
- What is Jessica Durham's NPI number?
- Jessica Durham's National Provider Identifier (NPI) is 1285105452, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Durham's specialty?
- Jessica Durham is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Jessica Durham located?
- Jessica Durham's practice location on file with NPPES is 402 E Main St, Waterbury, CT 06702-1701.
- What is Jessica Durham's phone number?
- The practice phone number listed in the NPPES registry for Jessica Durham is (203) 574-9000.
- Does Jessica Durham accept Medicare?
- Jessica Durham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jessica Durham's NPI active?
- Yes — Jessica Durham's NPI (1285105452) is active in the NPPES registry as of the last update on 2018-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.