Debralee Willis, LCSW
Individual provider Active NPI Clinical Social Worker · Toquerville, UT
NPI 1407677693 · NPPES record last updated Oct 21, 2024
Key facts
- NPI
- 1407677693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 10853098-3501 (UT)
- Practice address
- 16 S Ash Creek Dr
Toquerville, UT 84774-5080 - Phone
- (435) 201-4061
- NPI assigned
- Oct 21, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10853098-3501 | UT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10853098-3501 | UT | Yes |
Addresses
Primary practice location
16 S Ash Creek Dr
Toquerville, UT 84774-5080
Mailing address
PO Box 425
Toquerville, UT 84774-0425
Phone (435) 201-4061
Other providers in Toquerville, UT
All providers in Toquerville, UT · Clinical Social Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.