Organization Active NPI

Mark S. Debord, LCSW, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Monroe, LA
National Provider Identifier
1043619992
Registry record updated Aug 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
1947 Issued in LA
Legal business name
MARK S. DEBORD, LCSW, LLC
Practice address
212 Cypress St
West Monroe, LA 71291-3120
Phone
(318) 381-9070
Fax
(318) 322-1477
NPI assigned
Aug 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2014

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

Authorized official

Name
Mr. Mark S Debord, LCSWNPI 1518956374
Title
Licensed Clinical Social Worker
Phone
(318) 381-9070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1947 LA Primary

Addresses

Primary practice location

212 Cypress St
West Monroe, LA 71291-3120

Mailing address

212 Cypress St
West Monroe, LA 71291-3120
Phone (318) 381-9070

National Provider Directory

National Provider Directory

Locations

212 Cypress St
West Monroe, LA 71291
Phone (318) 322-1427

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408147200000",
    "number": "1043619992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 CYPRESS ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712913120",
            "telephone_number": "318-381-9070",
            "fax_number": "318-322-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CYPRESS ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712913120",
            "telephone_number": "318-381-9070",
            "fax_number": "318-322-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S. DEBORD, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-16",
        "last_updated": "2014-08-16",
        "status": "A",
        "authorized_official_last_name": "DEBORD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "318-381-9070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "LA",
            "license": "1947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.