Individual provider Active NPI

Deborah Pais, LCSW

  • Clinical Social Worker
  • Gainesville, FL
National Provider Identifier
1225042096
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3107 Issued in FL
Practice address
2631 NW 41St St Ste E5
Gainesville, FL 32606-6689
Phone
(352) 375-8301
Fax
(866) 384-4779
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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 SW3107 FL Primary

Addresses

Primary practice location

2631 NW 41St St Ste E5
Gainesville, FL 32606-6689

Mailing address

2631 NW 41St St Ste E5
Gainesville, FL 32606-6689
Phone (352) 375-8301

Other practice location 1

4703 NW 53rd Ave Ste
#B-2
Gainesville, FL 32653-3403
Phone (352) 375-8301

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Psychological Services LLC PastSince Jan 24, 2006 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1225042096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 NW 41ST ST STE E5",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066689",
            "telephone_number": "352-375-8301",
            "fax_number": "866-384-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 NW 41ST ST STE E5",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066689",
            "telephone_number": "352-375-8301",
            "fax_number": "866-384-4779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4703 NW 53rd Ave Ste",
            "address_2": "#B-2",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326533403",
            "country_code": "US",
            "telephone_number": "352-375-8301",
            "fax_number": "352-377-7275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAIS",
        "first_name": "DEBORAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.