Individual provider Active NPI

Deborah Jean Harrell, LMSW

  • Social Worker
  • Columbus, GA
National Provider Identifier
1083713036
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801075893 Issued in MI
Practice address
3435 Cherokee Ave
Columbus, GA 31906-1079
Phone
(706) 544-3590
Fax
(706) 544-4261
NPI assigned
Sep 22, 2006
Last updated
Jun 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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
Social Worker 104100000X 6801075893 MI Primary

Addresses

Primary practice location

3435 Cherokee Ave
Columbus, GA 31906-1079

Mailing address

185 Marigold Rd
Ocilla, GA 31774-2551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20221031001680 MI Practitioner - Clinical Social Worker 1254654551 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah J. Harrell, MSW Clinical CurrentSince Mar 1, 2020 Accepting new patients
Landmark Therapy LLC Social Worker CurrentSince Oct 1, 2022 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Locations

26677 W 12 Mile Rd
Southfield, MI 48034
Phone (248) 234-4816

Interoperability endpoints

  • Direct secure messaging: deborahharrell@tdh.allscriptsdirect.net

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1083713036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 MARIGOLD RD",
            "city": "OCILLA",
            "state": "GA",
            "postal_code": "317742551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 CHEROKEE AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319061079",
            "telephone_number": "706-544-3590",
            "fax_number": "706-544-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "DEBORAH",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801075893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.