Individual provider Active NPI

Deborah Lynn Doublin, LCSW, LMFT

  • Clinical Social Worker
  • Monroe, LA
National Provider Identifier
1104846716
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5183 Issued in LA
Practice address
800 Washington St
Suite B-2
Monroe, LA 71201-6955
Phone
(318) 325-8782
Fax
(318) 325-8749
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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 5183 LA Primary
Marriage & Family Therapist 106H00000X 787 LA

Addresses

Primary practice location

800 Washington St
Suite B-2
Monroe, LA 71201-6955

Mailing address

800 Washington St
Suite B-2
Monroe, LA 71201-6955
Phone (318) 325-8782

Other identifiers 1

IdentifierTypeStateIssuer
15198674MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20050418001284 LA Practitioner - Clinical Social Worker 9739127044 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5183LAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
River City Professional Counseling CurrentSince Sep 12, 2010 Accepting new patients
People United of Louisiana, LLC CurrentSince Oct 21, 2024 Accepting new patients
River City Professional Counseling, LLC Marriage & Family Therapist Current Accepting new patients
Northeast Rural Health Center Past Accepting new patients
Northeast Medical Transit, Inc. Past Accepting new patients
Healthcare Advantage LLC Past Accepting new patients

Locations

800 Washington St
Ste B2
Monroe, LA 71201
Phone (318) 325-8782

1210 Stubbs Ave
Monroe, LA 71201
Phone (318) 325-8748

908 N 3rd St
Monroe, LA 71201
Phone (318) 325-8748

2101 Tower Dr
Ste B
Monroe, LA 71201
Phone (318) 323-1300

Networks

  • LA PPO C-SNP

Organizations & group practices 6

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1104846716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "address_2": "SUITE B-2",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016955",
            "telephone_number": "318-325-8782",
            "fax_number": "318-325-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "address_2": "SUITE B-2",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016955",
            "telephone_number": "318-325-8782",
            "fax_number": "318-325-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUBLIN",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "5183",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "787",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15198674",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.