Individual provider Active NPI

Debra Lynn Arbuckle, SWML

  • Clinical Social Worker
  • Clarinda, IA
National Provider Identifier
1174233076
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
112898 Issued in IA
Practice address
216 W Division St
Clarinda, IA 51632-2509
Phone
(712) 542-2388
NPI assigned
Dec 1, 2022
Last updated
Dec 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 112898 IA Primary

Addresses

Primary practice location

216 W Division St
Clarinda, IA 51632-2509

Mailing address

216 W Division St
Clarinda, IA 51632-2509
Phone (712) 542-2388

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address debraa@waubonsiemhc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20230808000898 IA Practitioner - Clinical Social Worker 5890157887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waubonsie Mental Health Center IncGroup PAC ID 1658262415, 6 clinicians

Practice addresses (Care Compare)

216 W Division St
Clarinda, IA 51632-2509
Phone (712) 542-2388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Waubonsie Mental Health Center Inc CurrentSince Jul 2, 2023 Accepting new patients

Locations

216 W Division St
Clarinda, IA 51632
Phone (712) 542-5676

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1174233076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W DIVISION ST",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322509",
            "telephone_number": "712-542-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W DIVISION ST",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322509",
            "telephone_number": "712-542-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARBUCKLE",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "credential": "SWML",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "112898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "debraa@waubonsiemhc.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Debraa@waubonsiemhc.com",
            "address_1": "216 W Division St",
            "city": "Clarinda",
            "state": "IA",
            "country_code": "US",
            "postal_code": "516322509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clarinda, IA

Sources for this page

Verify at the official NPI Registry.