Deborah Dimmitt Ponton, LSCSW, LCAC
Individual provider Active NPI Clinical Social Worker · Abilene, KS
NPI 1053565481 · NPPES record last updated Aug 24, 2020
Key facts
- NPI
- 1053565481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 4131 (KS)
- Practice address
- 1005 N. Buckeye
Abilene, KS 67410 - Phone
- (785) 341-7931
- Fax
- (785) 823-3109
- NPI assigned
- Nov 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120327000188 | KS | Practitioner - Clinical Social Worker | 1052571288 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW 6091 | KS | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4131 | KS | Yes |
| 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
- Debby Dimmitt
Other providers in Abilene, KS
- Tonya S Mills
- Cameron L Mooney
- Jennifer Morton
- Jessica Murphy
- Curtis F Osland
- Porter Chiropractic, P.a.
- Kari Lynn Porter-Murray
- Prairie Clover Health LLC
- Teri Raub
- Roxanne Roberts
All providers in Abilene, KS · Clinical Social Worker in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.