DEBORAH MARIE CLEMONS (NPI# 1851889141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851889141 |
| Entity Type | Individual |
| Full Name | DEBORAH MARIE CLEMONS |
| Credential | CASAC |
| Practice Address |
177 E 122nd St New York NY 10035-2906 |
| Practice Telephone | 2123607116 |
| Mailing Telephone | 2123607116 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
6620 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 6620 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679872766 | Deborah Clemons | Technician, Other | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2011-03-15 |
| Street Address |
177 E 122ND ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10035-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255442513 | Guy J Pean | Family Medicine | 177 E 122nd St, New York, NY 10035-2906 | 2006-08-31 |
| 1962036160 | Felicia Artis | Social Worker | 177 E 122nd St, New York, NY 10035-2906 | 2020-02-26 |
| 1093293391 | Hillary Ann Bowden | Counselor | 177 E 122nd St, New York, NY 10035-2906 | 2018-07-30 |
| 1275047136 | Rebekah Souder-russo | Social Worker | 177 E 122nd St, New York, NY 10035-2906 | 2017-11-29 |
| 1013421072 | Cailee Walden | Registered Nurse | 177 E 122nd St, New York, NY 10035-2906 | 2017-11-28 |
| 1013430743 | Raymond Morales | Counselor | 177 E 122nd St, New York, NY 10035-2906 | 2017-07-25 |
| 1487106613 | Ray Atherley | Counselor | 177 E 122nd St, New York, NY 10035-2906 | 2016-11-04 |
| 1669841763 | Robert Charles Wright | Counselor | 177 E 122nd St, New York, NY 10035-2906 | 2015-09-18 |
| 1922494178 | Scott Louis Schapiro | Counselor | 177 E 122nd St, New York, NY 10035-2906 | 2015-04-14 |
| 1932594835 | Delfreda Harris | Counselor | 177 E 122nd St, New York, NY 10035-2906 | 2015-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821531 | Shandrika Potts-mills | Social Worker | 2600 Madison Ave, New York, NY 10035 | 2020-08-10 |
| 1982220919 | Christine Marie Fitzsimmons | Registered Nurse | 104-106 E 126th Street, 1a, New York, NY 10035 | 2020-06-25 |
| 1811542038 | Tamsin Jordan | Dietitian, Registered | Hunter College, 2180 3rd Ave, New York, Ny, New York, NY 10035 | 2019-08-05 |
| 1659938397 | Fanney Pereyra | Dentist | 2265 Third Avenue, New York, NY 10035 | 2019-05-28 |
| 1770046351 | Ralph Lauren Center for Cancer Care and Prevention | Special Hospital | 1919 Madison Ave Frnt 2, New York, NY 10035 | 2019-04-10 |
| 1285105866 | Union Square Eye Center LLC | Optometrist | 1815 Madison Avenue, New York, NY 10035 | 2018-12-08 |
| 1497236913 | Susannah Irene Blum | Speech-Language Pathologist | Ps 138@ps30 144 Eat 138th Street, New York, NY 10035 | 2018-08-23 |
| 1114413267 | Woodhull Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 57 East 124th St, New York, NY 10035 | 2018-07-02 |
| 1477041234 | Rina Rossignol | Social Worker | 108 Wards Island, Manhattan, NY 10035 | 2018-04-27 |
| 1669978664 | Alexandra Black | Student in an Organized Health Care Education/Training Program | 53 East 124th Street, New York, NY 10035 | 2018-03-30 |
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| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018713 | The Dorm Lcsw, Pllc | Counselor | 175 W 72nd St Frnt 2, New York, NY 10023-3203 | 2020-09-17 |
| 1609481514 | John James Makohen | Counselor | Greenwish House Mmtp, 190 Mercer St, New York, NY 10012 | 2020-09-09 |
| 1942814595 | Anthony Mitchell Jr. | Counselor | 1090 Saint Nicholas Ave Frnt A, New York, NY 10032-3809 | 2020-09-01 |
| 1811517188 | Legacy House Inc | Counselor | 200 W 131st St Apt 10c, New York, NY 10027-2041 | 2020-04-16 |
| 1427695022 | Samuel Underwood | Counselor | 1727 Amsterdam Ave Fl 3, New York, NY 10031-4611 | 2019-12-03 |
| 1851954135 | Rebecca Forer | Counselor | 316 E 88th St Fl 3, New York, NY 10128-4909 | 2019-04-22 |
| 1043775380 | Jennisel A Marte | Counselor | 174 Nagle Ave Apt 31, New York, NY 10034-6039 | 2019-01-31 |
| 1215401195 | Anika Nakia Carter | Counselor | 192 Bradhurst Ave Apt 11, New York, NY 10039-1408 | 2019-01-14 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
| 1760958110 | Oren Mayo | Counselor | 116 E 92nd St Bsmt, New York, NY 10128-1620 | 2018-10-23 |
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| 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.