Debra Harder, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 25655 Issued in CA

Practice address

516 Key West CT
Discovery Bay, CA 94505

Phone

(208) 440-3995

NPI assigned

Sep 3, 2009

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": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1154554368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1156",
            "city": "DISCOVERY BAY",
            "state": "CA",
            "postal_code": "945057156",
            "telephone_number": "925-513-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 KEY WEST CT",
            "city": "DISCOVERY BAY",
            "state": "CA",
            "postal_code": "94505",
            "telephone_number": "208-440-3995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Scofield Ave",
            "address_purpose": "LOCATION",
            "city": "Wasco",
            "state": "CA",
            "postal_code": "932807515",
            "country_code": "US",
            "telephone_number": "661-758-8400 x5211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDER",
        "first_name": "DEBRA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-03",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 25655",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jean Ferguson, MS, LPC, LPCC, CPC
• Paula Christine Fiebig, PHYSICAL THERAPIST
• Sameera Firoozmand
• G. S. Atwal, DDS a Prof. Dental Corp
• Kellie Glaser, RDN
• Daniel F Hillenbrand, D.C.
• Julie Jackson, NC
• Tijuana Jackson, DNP-FNPBC
• Martha Catalina Jimenez, MFT INTERN
• Donna Baten Kangieser

• All providers in Discovery Bay, CA
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.