Active NPI
Deborah Ann Willbur LCSW PA
- Clinical Social Worker
- Winter Park, FL
National Provider Identifier
1225184252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW0001501
- Legal business name
- DEBORAH ANN WILLBUR LCSW PA
- Practice address
- 2150 Park Ave North
Winter Park, FL 32789 - Phone
- (407) 645-0028
- Fax
- (407) 645-3507
- NPI assigned
- Jan 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Deborah Ann Willbur, MSW
- Title
- Owner
- Phone
- (407) 645-0028
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW0001501 | FL | Primary |
Addresses
Primary practice location
2150 Park Ave North
Winter Park, FL 32789
Mailing address
2150 Park Ave North
Winter Park, FL 32789
Phone (407) 645-0028
National Provider Directory
National Provider DirectoryLocations
2150 N Park Ave
Winter Park, FL 32789
Phone (407) 644-1522
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Winter Park, FL
- NPI 1508928722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1225184252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 PARK AVE NORTH",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32789",
"telephone_number": "407-645-0028",
"fax_number": "407-645-3507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 PARK AVE NORTH",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32789",
"telephone_number": "407-645-0028",
"fax_number": "407-645-3507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEBORAH ANN WILLBUR LCSW PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WILLBUR",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-645-0028",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW0001501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
- Michelle De Oliveira, ARNP
- Maria Kriselda Guevara De Ungria
- Domenica Deangelis, LCSW
- Kameka Alecia Deans, PA
- Indranil Debnath, MD
- Dedicated Senior Medical Centers of Florida, LLC (Dedicated Senior Medical Center Winter Park)
- Dina Maria Deitz, OTR/CHT
- Amy D Dejesus, LCSW
- Kelley Dekle
- Sonia Del Rio, CNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.