Active NPI
Deborah Dimmitt Ponton, LSCSW, LCAC
- Clinical Social Worker
- Abilene, KS
National Provider Identifier
1053565481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4131
- Practice address
- 1005 N. Buckeye
Abilene, KS 67410 - Phone
- (785) 341-7931
- Fax
- (785) 823-3109
- NPI assigned
- Nov 12, 2008
- Last updated
- Aug 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4131 | KS | Primary |
| Clinical Social Worker | 1041C0700X | LMSW 6091 | KS |
Addresses
Primary practice location
1005 N. Buckeye
Abilene, KS 67410
Mailing address
1005 N Buckeye Ave
Abilene, KS 67410-1940
Phone (785) 236-8612
Other names 1
- Debby Dimmitt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120327000188 | KS | Practitioner - Clinical Social Worker | 1052571288 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW 6091 | KS | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1053565481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 N BUCKEYE AVE",
"city": "ABILENE",
"state": "KS",
"postal_code": "674101940",
"telephone_number": "785-236-8612",
"fax_number": "785-783-5366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 N. BUCKEYE",
"city": "ABILENE",
"state": "KS",
"postal_code": "67410",
"telephone_number": "785-341-7931",
"fax_number": "785-823-3109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONTON",
"first_name": "DEBORAH",
"middle_name": "DIMMITT",
"name_prefix": "Ms.",
"credential": "LSCSW, LCAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-12",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "4131",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "LMSW 6091",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBBY",
"last_name": "DIMMITT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Abilene, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.