Deborah Elizabeth Dorsey

Individual provider Active NPI Clinical Social Worker · Paxton, IL

NPI 1124125729 · NPPES record last updated Feb 18, 2014

Key facts

NPI
1124125729
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
149011652 (IL)
Practice address
1510 W Ottawa
Paxton, IL 60957
Phone
(217) 379-4302
Fax
(217) 379-4306
NPI assigned
Sep 19, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
149011652ILMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149011652 IL Yes

Addresses

Primary practice location

1510 W Ottawa
Paxton, IL 60957

Mailing address

PO Box 162
1510 W Ottawa
Paxton, IL 60957
Phone (217) 379-4302

Other providers in Paxton, IL

All providers in Paxton, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.