Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1447671763 Deactivated / Inactive NPI Male Practitioner

Mark David Durica , LCSW

Social Worker - Clinical • St Augustine, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mark Durica has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 05, 2014
NPI Deactivation Date July 16, 2019
Total Practice Duration ~5 Years of Practice (2014 – 2019)

Professional Overview & Biography Verified Profile Summary

Mark Durica, LCSW was a registered Social Worker - Clinical practicing in St Augustine, FL. Throughout an active medical career spanning 5 years, Mark Durica provided care at the practice location at 3574 US 1 S until profile deactivation on 2019-07-16.

Practice Location & Contact Primary Location

Practice Address

3574 Us 1 S

St Augustine, FL 320866466

Telephone 9048292273
Associated Practice Facility / Clinic
🏢 Avanti Wellness Center Flllp Facility NPI 1215179056

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.3 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
90 Specialists

Practicing in St Augustine, FL (13861 Statewide)

Telehealth Adoption Rate
8.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License FL SW5857

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Denise Grubb , LMFT

Counselor - Mental Health

NPI 1093593527

Licensed Marriage and Family Therapist

Ava Suleiman , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1134018617

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Erika Nyquist , APRN PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1316624778

APRNPMHNPBC

Cassandra Oborne , LMHC

Counselor - Mental Health

NPI 1316804859

Licensed Mental Health Counselor

Kristin Ramsey , LMHC

Counselor - Mental Health

NPI 1467287045

Licensed Mental Health Counselor

Maryann Del Cid

Nurse Practitioner - Psychiatric/Mental Health

NPI 1497527865

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 16, 2019

Record deactivated on July 16, 2019

NPI Profile Active January 05, 2014

NPI status registered as active in NPPES database

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Updated Practice Location January 05, 2014

Registered at 3574 US 1 S, ST AUGUSTINE, FL 320866466 (Tel: 9048292273)

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Updated Business Mailing Address January 05, 2014

Registered at 220 MILL LN UNIT 305, ST AUGUSTINE, FL 320847511 (Tel: 9045281107)

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Provider Name / Credentials Updated January 05, 2014

Recorded as MARK DURICA, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2014

Social Worker (License #SW5857 in FL)

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Initial NPI Registration & Enumeration January 05, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447671763
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2014
Last Update: January 05, 2014
Deactivation Date: July 16, 2019

Mailing Address

220 Mill Ln Unit 305

St Augustine, FL 320847511

Phone: 9045281107

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.