Debra De la Garza, LCSW, CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3593 Issued in KY

Practice address

238 Quail Ridge Rd
Campbellsville, KY 42718-8714

Phone

(270) 505-2665

NPI assigned

Mar 11, 2016

Last updated

Oct 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1083075527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 QUAIL RIDGE RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427188714",
            "telephone_number": "270-505-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 QUAIL RIDGE RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427188714",
            "telephone_number": "270-505-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA GARZA",
        "first_name": "DEBRA",
        "credential": "LCSW, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-11",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "1095",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Curry, APRN
• Alex Davis
• Jennifer Coke Davis
• Kimberly L Davis, MSW
• Lori Davis
• Dek Health Alliance LLC (appalachian medical)
• Erica N Dishman, LPCC
• Jerome Anthony Dixon, D.O.
• Rachael Dobson
• Molly West Doerr, OD

• Clinical Social Worker in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.