NPIMap

Individual provider Active NPI

Nancy Debliek

  • Clinical Social Worker
  • Battle Creek, MI
National Provider Identifier
1053799494
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801093230 Issued in MI
Practice address
155 Garfield Ave
Battle Creek, MI 49037-3407
Phone
(269) 962-3768
Fax
(269) 966-4123
NPI assigned
May 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801093230 MI Primary

Addresses

Primary practice location

155 Garfield Ave
Battle Creek, MI 49037-3407

Mailing address

155 Garfield Ave
Battle Creek, MI 49037-3407
Phone (269) 962-3768

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

LicenseStateTypeSpecialty
6801093230MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Starr Commonwealth Clinical Past Accepting new patients
Starr Commonwealth Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1053799494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 GARFIELD AVE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490373407",
            "telephone_number": "269-962-3768",
            "fax_number": "269-966-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 GARFIELD AVE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490373407",
            "telephone_number": "269-962-3768",
            "fax_number": "269-966-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBLIEK",
        "first_name": "NANCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.