Active NPI
Deborah Hoerner-Deleon, L.C.S.W.
- Clinical Social Worker
- Concord, NC
National Provider Identifier
1043637440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CO12431
- Practice address
- 420 Copperfield Blvd NE
Concord, NC 28025-2404 - Phone
- (704) 706-2200
- NPI assigned
- Mar 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | SW8979 | FL | |
| Clinical Social Worker | 1041C0700X | 0904005955 | VA | |
| Clinical Social Worker | 1041C0700X | CO12431 | NC | Primary |
Addresses
Primary practice location
420 Copperfield Blvd NE
Concord, NC 28025-2404
Mailing address
4680 Courtney Creek Dr
Kannapolis, NC 28081-9621
Phone (813) 928-3437
Other names 1
- Deborah Buie
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW8979 | FL | MD | Clinical Social Worker |
| CO12431 | NC | MD | Clinical Social Worker |
| 0904005955 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678579200000",
"number": "1043637440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4680 COURTNEY CREEK DR",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280819621",
"telephone_number": "813-928-3437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 COPPERFIELD BLVD NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252404",
"telephone_number": "704-706-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOERNER-DELEON",
"first_name": "DEBORAH",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-24",
"last_updated": "2023-03-12",
"certification_date": "2023-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW8979",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904005955",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "CO12431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "BUIE",
"credential": "L.C.S.W.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.