Jody L Deboer, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11474-123 Issued in WI

Practice address

N8030 Townline Rd
East Troy, WI 53120-3500

Phone

(262) 441-6216

NPI assigned

Jan 17, 2014

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Child & Family Therapeutic Systems S.C.

  • Clinical Social Worker
  • Greenfield, WI
  • NPI 1922176395
  NPD

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1114349636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N8030 TOWNLINE RD STE 501&502",
            "city": "EAST TROY",
            "state": "WI",
            "postal_code": "531203500",
            "telephone_number": "262-441-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N8030 TOWNLINE RD",
            "city": "EAST TROY",
            "state": "WI",
            "postal_code": "531203500",
            "telephone_number": "262-441-6216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4989 N 3rd St",
            "address_purpose": "LOCATION",
            "city": "Laramie",
            "state": "WY",
            "postal_code": "820729548",
            "country_code": "US",
            "telephone_number": "307-745-8997",
            "fax_number": "307-742-6146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 Village Dr # Gl30",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645064979",
            "country_code": "US",
            "telephone_number": "816-545-9203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4811 S 76th St Ste 305",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "WI",
            "postal_code": "532204313",
            "country_code": "US",
            "telephone_number": "414-325-7741",
            "fax_number": "414-325-7753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Evergreen Parkway",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Elkhorn",
            "state": "WI",
            "postal_code": "531214095",
            "country_code": "US",
            "telephone_number": "414-325-7741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBOER",
        "first_name": "JODY",
        "middle_name": "L",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-17",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2019031458",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "11474-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cari A Chatham, BSN RN
• Compassionate Heart Counseling LLC
• Irene Corzo, LCPC
• Richard Datka, APRN
• Tracy Davies, DDS
• Vivian L Dehahn, APNP
• David F Devries, PA-C
• East Troy Area Emergency Services District
• East Troy Community School District
• East Troy Family Dental Center SC

• Clinical Social Worker in East Troy, WI
• Providers in East Troy, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.