Individual provider Active NPI

Debra M McKnight

  • Clinical Social Worker
  • New Port Richey, FL
National Provider Identifier
1245551373
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 13705 Issued in FL
Practice address
4800 Rowan Rd
New Port Richey, FL 34653-5609
Phone
(727) 847-0069
Fax
(727) 849-3780
NPI assigned
Jun 11, 2010
Last updated
Jun 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW 13705 FL Primary
Clinical Social Worker 1041C0700X 080168 NY
Social Worker 104100000X 078515 NY

Addresses

Primary practice location

4800 Rowan Rd
New Port Richey, FL 34653-5609

Mailing address

39820 US Highway 19 N Lot 18
Tarpon Springs, FL 34689-8347
Phone (585) 520-5689

Other names 1

  • Debra McKeown Former name

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

State licenses

LicenseStateTypeSpecialty
SW 13705FLMDClinical Social Worker
078515NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1245551373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39820 US HIGHWAY 19 N LOT 18",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346898347",
            "telephone_number": "585-520-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 ROWAN RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346535609",
            "telephone_number": "727-847-0069",
            "fax_number": "727-849-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKNIGHT",
        "first_name": "DEBRA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-11",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 13705",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080168",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "078515",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "MCKEOWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.