Debra L Wurdock, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801081105 Issued in MI

Practice address

1420 Center Ave
Bay City, MI 48708-6110

Phone

(989) 892-2504

Fax

(989) 894-4704

NPI assigned

Jul 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tuscola County Community Mental Health Services BoardGroup PAC ID 0941193619, 11 clinicians

Catholic Family ServiceGroup PAC ID 1052473923, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Catholic Family Service

  • Mental Health Counselor
  • Saginaw, MI
  • NPI 1356395685
  Medicare reassignment Care Compare group NPD
• Tuscola County Community Mental Health Services Board

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Caro, MI
  • NPI 1275644775
  Medicare reassignment Care Compare group NPD
• Catholic Family Service

  • Community/Behavioral Health Agency
  • Mt. Pleasant, MI
  • NPI 1881735223
  NPD
• Catholic Family Service

  • Community/Behavioral Health Agency
  • Bay City, MI
  • NPI 1073654729
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1285653352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 CENTER AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086110",
            "telephone_number": "989-892-2504",
            "fax_number": "989-894-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 CENTER AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086110",
            "telephone_number": "989-892-2504",
            "fax_number": "989-894-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURDOCK",
        "first_name": "DEBRA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801081105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gypsy Twilight Worrall
• Chelsea Lynn Woyahn
• Julianna Cierra Rose Wright
• Robert Wright III
• Sara Wright
• Charlotte Zhong Yang, MD
• Samantha Yanna-Carlson
• Emily Ann Yanoski
• Madeline Marie Yanoski
• Traci Yates

• Clinical Social Worker in Bay City, MI
• Providers in Bay City, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.