Individual provider Active NPI

Deborah Sitbon, LCSW

  • Clinical Social Worker
  • Kihei, HI
National Provider Identifier
1346684636
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3831 Issued in HI
Practice address
480 Kenolio Rd
Unit 2-106
Kihei, HI 96753-7500
Phone
(808) 446-2544
NPI assigned
Apr 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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 3831 HI Primary

Addresses

Primary practice location

480 Kenolio Rd
Unit 2-106
Kihei, HI 96753-7500

Mailing address

480 Kenolio Rd
Unit 2-106
Kihei, HI 96753-7500
Phone (808) 446-2544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 25, 2023 through Jul 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3831HIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1346684636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 KENOLIO RD",
            "address_2": "UNIT 2-106",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537500",
            "telephone_number": "808-446-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 KENOLIO RD",
            "address_2": "UNIT 2-106",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537500",
            "telephone_number": "808-446-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITBON",
        "first_name": "DEBORAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

Verify at the official NPI Registry.