Deborah Odette Bishop, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

IC-1889 Issued in NV

Practice address

4055 Spencer St Ste 118
Las Vegas, NV 89119-5250

Phone

(702) 799-9710

NPI assigned

Dec 28, 2021

Last updated

Jan 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Deborah Odette Brown Former name

Medicare fee-for-service enrollment

Enrolled in NV

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Desert Behavioral Health

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1467785527
  Medicare reassignment NPD
• LKBG LLC

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1326453838
  NPD (past)

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1124788435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 N HUALAPAI WAY UNIT 2095",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298086",
            "telephone_number": "702-767-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 SPENCER ST STE 118",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195250",
            "telephone_number": "702-799-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "DEBORAH",
        "middle_name": "ODETTE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC-1889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "BROWN",
            "middle_name": "ODETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marilyn Bishop Davis
• Aaron Bishop
• Amanda Bishop
• Annie Bishop
• Breana Bishop
• Evan Bishop, PT, DPT
• Jacqueline Bishop
• Jesse Bishop
• Jordan Bishop
• Mara Leanna Kristina Alicdan Bishop, APRN

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.