Deborah Royalty, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00939078 Issued in WV

Practice address

199 Brannon LN
Charles Town, WV 25414-4736

Phone

(304) 728-0191

NPI assigned

Feb 17, 2015

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1104217884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 BRANNON LN",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254144736",
            "telephone_number": "304-728-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 BRANNON LN",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254144736",
            "telephone_number": "304-728-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYALTY",
        "first_name": "DEBORAH",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-17",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "DP00939078",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00939078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Michael Rockhold
• Nancy Leigh Rodriguez, CNA
• Katelynn Roell
• Ramona Rogers, PSYCHOLOGIST
• Ann Rowe, CMT
• Steven Wade Rozier, DC
• Alex Salisbury
• Abigail Hubble Salser
• Wanda I. Santiago, M.D.
• Tyler Satterfield

• Clinical Social Worker in Charles Town, WV
• Providers in Charles Town, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.