Active NPI
Deborah B Welborn, LCSW
- Social Worker
- Augusta, GA
National Provider Identifier
1093741852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 000983GA
- Practice address
- 1205 Troup St
Augusta, GA 30904 - Phone
- (803) 599-2067
- NPI assigned
- Jun 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 000983 | GA | |
| Social Worker | 104100000X | 000983GA | GA | Primary |
Addresses
Primary practice location
1205 Troup St
Augusta, GA 30904
Mailing address
454 Missouri St
San Francisco, CA 94107
Phone (803) 599-2067
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 888PBX | Medicaid | GA | |
| 78728585 | Other | GA | UNITED HEALTH CARE |
| A313596 | Other | GA | VALUE OPTIONS |
Other names 1
- Deborah W Reiniger
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000983GA | GA | MD | Social Worker |
| 983 | GA | MD | Optometrist |
| 000983 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1093741852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "454 MISSOURI ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94107",
"telephone_number": "803-599-2067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 TROUP ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30904",
"telephone_number": "803-599-2067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELBORN",
"first_name": "DEBORAH",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "000983",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "000983GA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "888PBX",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "78728585",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "A313596",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "REINIGER",
"middle_name": "W",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.