PATRICK DEBOW (NPI# 1417416025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417416025 |
| Entity Type | Individual |
| Full Name | PATRICK DEBOW |
| Credential | CPRS, CADC |
| Practice Address |
505 W Market St Ste 110 Georgetown DE 19947-2344 |
| Practice Telephone | 3028540626 |
| Mailing Telephone | 3028540626 |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1587 | DE | Behavioral Health & Social Service Providers |
| Y | 175T00000X | Peer Specialist | 1587 | DE | Other Service Providers |
| Street Address |
505 W MARKET ST STE 110 |
| City | GEORGETOWN |
| State | DE |
| Zip Code | 19947-2344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699084764 | Patricia Jo Harding | Registered Nurse | 505 W Market St Ste 110, Georgetown, DE 19947-2344 | 2010-10-06 |
| 1154943090 | Joanna Evelyn Loper | Counselor | 505 W Market St Ste 110, Georgetown, DE 19947-2344 | 2020-05-14 |
| 1184246043 | Stefanie Friolet | Social Worker | 505 W Market St Ste 110, Georgetown, DE 19947-2344 | 2020-05-14 |
| 1366080822 | Emily Davis Grabowski | Counselor | 505 W Market St Ste 110, Georgetown, DE 19947-2344 | 2019-12-16 |
| 1992364855 | Charles Monroe Wetzel IIi | Peer Specialist | 505 W Market St Ste 110, Georgetown, DE 19947-2344 | 2019-06-13 |
| 1881253854 | Tierney Huff | Social Worker | 505 W Market St Ste 110, Georgetown, DE 19947-2344 | 2019-06-12 |
| 1255743423 | Jessica Butler | Social Worker | 505 W Market St Ste 110, Georgetown, DE 19947-2344 | 2014-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417454794 | Adrienne Evans | Counselor | 20505 Dupont Blvd., Georgetown, DE 19947 | 2018-04-12 |
| 1912416637 | Michael Christopher Davis | Registered Nurse | 18945 East Redden Road, Georgetown, DE 19947 | 2017-09-26 |
| 1558891143 | Anthony Powell | Registered Nurse | 18357 Dupont Blvd, Georgetown, DE 19947 | 2017-06-15 |
| 1295262905 | Christa Rodriguez | Registered Nurse | 22975 Lewes Georgetown Hwy, Georgetown, DE 19947 | 2017-05-12 |
| 1851847610 | Leticia Howell | Social Worker | 411 South Bedford Street, Georgetown, DE 19947 | 2016-08-31 |
| 1649628637 | Penelope Pitts | Counselor | 20707 N Dupont Boulevard, Georgetown, DE 19947 | 2016-05-31 |
| 1972996361 | Rocky Mountain Holdings, LLC | Ambulance | 21479 Rudder Ln, Georgetown, DE 19947 | 2015-03-10 |
| 1639413867 | Sheri Lynn Mcafee-garner | Nurse Practitioner | 23203 Dupont Blvd, Georgetown, DE 19947 | 2012-11-09 |
| 1417205071 | Amber Nichole West | Occupational Therapy Assistant | 110 West North Street, Georgetown, DE 19947 | 2012-08-29 |
| 1104130657 | Brain Works Incorporated | Counselor | 20155 Office Circle, Suite 2 Georgetown Professional Park, Georgetown, DE 19947 | 2010-07-27 |
| Find all providers in zip 19947 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635246 | Amber Elizabeth Edens | Peer Specialist | 75 Banting Dr, Georgetown, OH 45121-1460 | 2020-10-02 |
| 1992364855 | Charles Monroe Wetzel IIi | Peer Specialist | 505 W Market St Ste 110, Georgetown, DE 19947-2344 | 2019-06-13 |
| 1952864290 | Lindsay Brooke Clepper | Peer Specialist | 75 Banting Dr, Georgetown, OH 45121-1460 | 2019-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073014072 | Erin Goldner | Peer Specialist | 1007 N Orange St, Wilmington, DE 19801-1239 | 2018-02-24 |
| 1457706962 | Leslie Palladino | Peer Specialist | 8 Sutton Ln, New Castle, DE 19720-2149 | 2016-05-03 |
| 1619436300 | Patricia Whelan | Peer Specialist | 2713 Lancaster Ave, Wilmington, DE 19805-5220 | 2019-03-13 |
| City | GEORGETOWN |
| Zip Code | 19947 |
Please comment or provide details below to improve the information on PATRICK DEBOW.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.