Individual provider Active NPI

Debre Kern

  • Social Worker
  • Buffalo, NY
National Provider Identifier
1407512494
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
091222 Issued in NY
Practice address
969 Ellicott St
Buffalo, NY 14209-2324
Phone
(508) 979-5557
NPI assigned
Nov 13, 2021
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 091222 NY Primary

Addresses

Primary practice location

969 Ellicott St
Buffalo, NY 14209-2324

Mailing address

495 N Atlanta Ave
N Massapequa, NY 11758-2013
Phone (516) 582-5980

Other practice location 1

26 Field Street
New Bedford, MA 02740
Phone (508) 979-5557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251230003066 MA Practitioner - Clinical Social Worker 6901392802 Reassigns benefits to 1 organization
I20260611002284 NY Practitioner - Clinical Social Worker 6901392802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boston Neurobehavioral Associates, LLCGroup PAC ID 9436142429, 159 clinicians

Practice addresses (Care Compare)

226 Field St
New Bedford, MA 02740-2133
Phone (508) 979-5557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
091222NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
National Neurobehavioral Associates PC CurrentSince Dec 7, 2025 Accepting new patients
Boston Neurobehavioral Associates, LLC CurrentSince Oct 29, 2025 Accepting new patients

Locations

226 Field St
New Bedford, MA 02740
Phone (508) 213-1387

969 Ellicott St
Buffalo, NY 14209

969 Ellicott St
#100
Buffalo, NY 14209
Phone (716) 200-0651

Organizations & group practices 2

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": "1636761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1407512494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 N ATLANTA AVE",
            "city": "N MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582013",
            "telephone_number": "516-582-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 ELLICOTT ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092324",
            "telephone_number": "508-979-5557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Field Street",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "02740",
            "country_code": "US",
            "telephone_number": "508-979-5557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERN",
        "first_name": "DEBRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-13",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "091222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.