Debra Spencer, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

122561-01 Issued in NY

Practice address

480 Route 17M
Middletown, NY 10940-4525

Phone

(845) 239-4541

Fax

(845) 381-1313

NPI assigned

Feb 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1427813831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FORTUNE RD W APT 2J",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109411684",
            "telephone_number": "845-729-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 ROUTE 17M",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404525",
            "telephone_number": "845-239-4541",
            "fax_number": "845-381-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "DEBRA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "122561-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McCurla Sena Sounou Mensa, FNP-BC
• Paul A Southwell, LPC
• Tara Helen Sovik-Bandel, BCBA, LBA
• Christian Spano
• Deborah K. Spencer, M.D.
• Gregory A. Spencer, MD
• David S. Spina, D.C.
• James A Spina, DC
• Jeffrey Spina, DC
• Joyce Spiteri

• Mental Health Counselor in Middletown, NY
• Providers in Middletown, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.