Individual provider Active NPI

Deborah Dimmitt Ponton, LSCSW, LCAC

  • Clinical Social Worker
  • Abilene, KS
National Provider Identifier
1053565481
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4131 Issued in KS
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120327000188 KS Practitioner - Clinical Social Worker 1052571288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW 6091KSMDClinical 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

Verify at the official NPI Registry.