DEBRA DIANE (NPI# 1861757239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861757239 |
| Entity Type | Individual |
| Full Name | DEBRA DIANE |
| Credential | LCSW |
| Practice Address |
2900 W Prospect Rd Fort Lauderdale FL 33309-2519 |
| Mailing Address |
4740 N State Road 7 Ste 201 Lauderdale Lakes FL 33319-5839 |
| Practice Telephone | 9547315100 |
| Practice Fax Number | 9544973857 |
| Mailing Telephone | 9547771617 |
| Mailing Fax Number | 9544973857 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
SW10293 | FL | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW10293 | FL | Behavioral Health & Social Service Providers |
| Street Address |
2900 W PROSPECT RD |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33309-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922099290 | Maria A Gorelick | Specialist | 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 | 2005-11-04 |
| 1871118463 | Kimberly L Allison | Social Worker | 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 | 2020-06-10 |
| 1114552585 | Jennifer E Blake | Social Worker | 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 | 2020-03-06 |
| 1124660352 | Sarah Burton | Counselor | 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 | 2019-10-09 |
| 1528560307 | Adrianna N Brown | Social Worker | 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 | 2018-03-07 |
| 1487154746 | Michelle Rose-marie Desarmes | Nurse Practitioner | 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 | 2018-02-13 |
| 1902319700 | Gulay Ozcan | Counselor | 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 | 2017-11-15 |
| 1447796610 | Lissety Aguirre-fallon | Counselor | 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 | 2017-01-12 |
| 1942744701 | Luciangeli Flores | Case Manager/Care Coordinator | 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 | 2016-12-14 |
| 1235672445 | Stacy F Riley | Counselor | 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 | 2016-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942841507 | Integrity Home Care Plus LLC | In Home Supportive Care | 1451 W Cypress Road Ste 300, Fort Lauderdale, FL 33309 | 2019-10-04 |
| 1518519875 | Jordanna Bettencourt | Behavior Technician | 1000 Sw 65th St, Suite #201, Fort Lauderdale, FL 33309 | 2019-07-16 |
| 1114579752 | Jewel Porter | Behavior Technician | 1000 Nw 65th St., Suite #201, Fort Lauderda, FL 33309 | 2019-07-14 |
| 1003318049 | Tri County Pet LLC | Clinic/Center | 2122 W. Cypress Creek Road, Suite 210, Fort Lauderdale, FL 33309 | 2018-03-06 |
| 1821508722 | Rose Marie Cecile Dyer | Home Health Aide | 4217 Nw 37th Terrace, Lauderdale Lakes, FL 33309 | 2017-10-05 |
| 1245756790 | Kattys Elena Mendoza | Behavior Technician | 1001 W. Cypress Creek Rd., 120, Ft Lauderdale, FL 33309 | 2017-08-16 |
| 1669902847 | Sharon Desir | Social Worker | 2700 West Cypress Creek Road, Executive Court, B-106, Fort Lauderdale, FL 33309 | 2017-06-19 |
| 1184158503 | Rebecca Robin Washington | Behavioral Analyst | 1001 W Cypress Creek Rd #120, Fort Lauderdale, Fl 33309, Fort Lauderdale, FL 33309 | 2017-04-12 |
| 1124564281 | Alloy Behavioral Health Solutions, Inc | Specialist | 1835 S Perimeter Road Suite 170, Fort Lauderdale, FL 33309 | 2017-01-13 |
| 1740738855 | Christina Camarena | Behavior Technician | 6414 Nw 5th Way, Fort Lauderdale, FL 33309 | 2016-09-18 |
| Find all providers in zip 33309 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335511 | Kathleen Kelly | Social Worker | 1672 S Ocean Ln Apt 155, Fort Lauderdale, FL 33316-3341 | 2020-10-27 |
| 1497371728 | Robin Nowling | Social Worker | 5850 Sw 37th Ave, Fort Lauderdale, FL 33312-6237 | 2020-06-23 |
| 1346874864 | Doreen Marie Sanabria | Social Worker | 4165 Sw 51st St, Fort Lauderdale, FL 33314-5713 | 2020-02-24 |
| 1780214197 | Latoya Child Cain | Social Worker | 2425 Nw 8th Pl Apt 2, Fort Lauderdale, FL 33311-6737 | 2020-01-24 |
| 1386203636 | Shaina Michele Levinson | Social Worker | 351 Nw 17th Pl, Fort Lauderdale, FL 33311-4853 | 2019-06-11 |
| 1245897818 | Marlana Staats | Social Worker | 333 Las Olas Way Ste 441, Fort Lauderdale, FL 33301-2884 | 2019-05-20 |
| 1437712312 | Judy L. Gunn Lcsw, P.a. | Social Worker | 2003 W Cypress Creek Rd Ste 109, Fort Lauderdale, FL 33309-1834 | 2019-04-17 |
| 1538629506 | Sandia Marcellon | Social Worker | 1324 Nw 5th Ave Apt 2, Fort Lauderdale, FL 33311-6052 | 2019-03-25 |
| 1538642111 | Jill M Rubin Lcsw | Social Worker | 915 Middle River Dr Ste 417, Fort Lauderdale, FL 33304-3561 | 2018-09-10 |
| 1366956831 | Srb Counseling & Consulting Pllc | Social Worker | 2020 W Mcnab Rd Ste 104, Fort Lauderdale, FL 33309-1005 | 2017-11-20 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33309 |
Please comment or provide details below to improve the information on DEBRA DIANE.
| 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.