Individual provider Active NPI

Deborah Kay Lillibridge, LMSW

  • Social Worker
  • Macon, GA
National Provider Identifier
1437188992
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
MSW003107 Issued in GA
Practice address
750 Riverside Dr
Macon, GA 31201-2611
Phone
(478) 477-3813
Fax
(478) 746-7023
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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 MSW003107 GA Primary

Addresses

Primary practice location

750 Riverside Dr
Macon, GA 31201-2611

Mailing address

2497 Jackson Rd
Griffin, GA 30223-8463
Phone (678) 313-5248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MSW003107GAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1437188992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2497 JACKSON RD",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302238463",
            "telephone_number": "678-313-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 RIVERSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012611",
            "telephone_number": "478-477-3813",
            "fax_number": "478-746-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLIBRIDGE",
        "first_name": "DEBORAH",
        "middle_name": "KAY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW003107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.