Heather Rae Debouver, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1701310 Issued in OH

Practice address

905 Nebraska Ave
Toledo, OH 43607-4222

Phone

(419) 255-4050

NPI assigned

Nov 28, 2017

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 28, 2017.

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1396259446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 ASHLAND AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436201703",
            "telephone_number": "419-841-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 NEBRASKA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436074222",
            "telephone_number": "419-255-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBOUVER",
        "first_name": "HEATHER",
        "middle_name": "RAE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1701310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erich Karl Deason, CRNA
• Laura L Debenedetti, MD
• Martin M Debeukelaer, MD
• Joseph Michael Debiase, MD
• Ryan Debiec
• Debra'S Home Care / Residental Facilities / Educational Services
• Jaclyn M Debruyne, CNP
• Deca Health, Inc
• Carlos A, Decarvalho, M.D.
• Jai-Charles Decembly

• All providers in Toledo, OH
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.