Individual provider Active NPI

Debora Brown-Cumpton, LCSW

  • Clinical Social Worker
  • La Grande, OR
National Provider Identifier
1407216989
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L10459 Issued in OR
Practice address
710 Sunset Dr Ste E
La Grande, OR 97850-1200
Phone
(541) 663-3150
Fax
(541) 975-5111
NPI assigned
Feb 26, 2016
Last updated
Jan 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Clinical Social Worker 1041C0700X L10459 OR Primary

Addresses

Primary practice location

710 Sunset Dr Ste E
La Grande, OR 97850-1200

Mailing address

PO Box 3290
La Grande, OR 97850-7290
Phone (541) 663-3150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20211025000424 OR Practitioner - Clinical Social Worker 6800284886 Reassigns benefits to 3 organizations
Practice locations: La Grande, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grande Ronde Hospital IncGroup PAC ID 0547170789, 97 clinicians

Practice addresses (Care Compare)

900 Sunset Dr
La Grande, OR 97850-1362

900 Sunset Dr
La Grande, OR 97850-1387
Phone (541) 963-8421

PO Box
Suite 3290
La Grande, OR 97850

PO Box
Suite 3290
La Grande, OR 97850-7290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L10459ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grande Ronde Hospital, Inc. CurrentSince Sep 14, 2021 Accepting new patients
Grande Ronde Hospital, Inc. CurrentSince Sep 14, 2021 Accepting new patients
Candace Walters and Associates CurrentSince Mar 19, 2026 Accepting new patients

Locations

105 Fir St
Ste 327
La Grande, OR 97850
Phone (541) 246-3638

506 4th St
La Grande, OR 97850
Phone (541) 663-3138

710 Sunset Dr
Ste E
La Grande, OR 97850
Phone (541) 663-3150

900 Sunset Dr
La Grande, OR 97850
Phone (541) 963-8421

142 E Dearborn St
Union, OR 97883
Phone (541) 562-6062

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1407216989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3290",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978507290",
            "telephone_number": "541-663-3150",
            "fax_number": "541-975-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SUNSET DR STE E",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978501200",
            "telephone_number": "541-663-3150",
            "fax_number": "541-975-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-CUMPTON",
        "first_name": "DEBORA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grande, OR

Sources for this page

Verify at the official NPI Registry.