Debra Miller Jaffe, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C002238 Issued in NC

Practice address

5509 Creedmoor Rd
Raleigh, NC 27612

Phone

(919) 573-6520

Fax

(919) 573-6555

NPI assigned

Aug 25, 2006

Last updated

Sep 2, 2016By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Boston University School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brinkley Brown Mental Wellness PLLCGroup PAC ID 3173917010, 10 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brinkley Brown Mental Wellness PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Apex, NC
  • NPI 1821697293

  Clinical

  Medicare reassignment Care Compare group NPD
• Best Day Psychiatry and Counseling, PC

  • Prescribing (Medical) Psychologist
  • Fayetteville, NC
  • NPI 1477506343

  Professional

  Medicare reassignment NPD
• Best Day Psychiatry and Counseling, PC

  • Psychiatry Physician
  • Mount Pleasant, SC
  • NPI 1467291542
  NPD

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1285742957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 CREEDMOOR RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27612",
            "telephone_number": "919-573-6520",
            "fax_number": "919-573-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5509 CREEDMOOR RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27612",
            "telephone_number": "919-573-6520",
            "fax_number": "919-573-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFE",
        "first_name": "DEBRA",
        "middle_name": "MILLER",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003664",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Carl Jacobson, MD
• William L Jacobson
• Allison Lewis Jacokes, MD
• Jades-Nissi Home Care, LLC
• Morgan Katherine Jafari
• Ali Jaffry, OD
• Sanjay Jagannath, M.D.
• Kelly Kaylor Jaglowski, FNP-BC
• Sivakumar Jaikumar, MD
• Arianna Jaimez

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.