Individual provider Active NPI

Debbre Ann Oberman, LCSW

  • Clinical Social Worker
  • Hamden, CT
National Provider Identifier
1043388846
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
004185 Issued in CT
Practice address
182 Magee Drive
Hamden, CT 06514
Phone
(203) 288-4093
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 004185 CT Primary

Addresses

Primary practice location

182 Magee Drive
Hamden, CT 06514

Mailing address

182 Magee Drive
Hamden, CT 06514
Phone (203) 288-4093

Other identifiers 2

IdentifierTypeStateIssuer
317017OtherCTHEALTHNET
140004185CT03OtherCTANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120118000794 CT Practitioner - Clinical Social Worker 4486821246 Reassigns benefits to 1 organization
Practice locations: Hamden, CT; Waterbury, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

182 Magee Dr
Hamden, CT 06514-1340
Phone (203) 288-4093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004185CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Mental Health Specialists Inc Clinical CurrentSince Jan 10, 2019 Accepting new patients

Locations

270 Farmington Ave
Ste 309
Farmington, CT 06032
Phone (860) 677-5570

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043388846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 MAGEE DRIVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "06514",
            "telephone_number": "203-288-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 MAGEE DRIVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "06514",
            "telephone_number": "203-288-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERMAN",
        "first_name": "DEBBRE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "317017",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "140004185CT03",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.