Deborah Lee Pickard, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004581 Issued in NC

Practice address

1100 W Vernon Ave
Kinston, NC 28501-3616

Phone

(828) 545-2715

NPI assigned

Jun 2, 2010

Last updated

Oct 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New Dawn Psychiatric Services, PLLC

  • Community/Behavioral Health Agency
  • Kinston, NC
  • NPI 1245637701

  Single Specialty

  Medicare reassignment NPD
• Summitcare Health Services, LLC

  • Community/Behavioral Health Agency
  • Wilson, NC
  • NPI 1477807022

  Single Specialty

  NPD
• Advantage Behavioral Healthcare Inc.

  • Mental Health Counselor
  • Whiteville, NC
  • NPI 1902100019

  Professional

  NPD (past)
• Eastpointe Human Services

  • Community/Behavioral Health Agency
  • Lumberton, NC
  • NPI 1306058524

  Single Specialty

  NPD (past)
• Modern Wellness PLLC

  • Community/Behavioral Health Agency
  • Whiteville, NC
  • NPI 1235371709

  Single Specialty

  NPD (past)
• Anesthesia Services Associates, PLLC

  dba Comprehensive Pain Specialists

  • Durable Medical Equipment & Medical Supplies
  • Lexington, KY
  • NPI 1376054213
  NPD (past)

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1467772384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W VERNON AVE",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285013616",
            "telephone_number": "828-545-2715",
            "fax_number": "910-642-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W VERNON AVE",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285013616",
            "telephone_number": "828-545-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKARD",
        "first_name": "DEBORAH",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467772384",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasper Louis Phillips Jr., MD
• Philson,S Personal Care Associates, Inc.
• Physician's Prime Care Centre
• Physicians East, PA
• Physicians Prime Care Center
• Joseph William Pike III, RPH
• Pine Haven Home Health Care Services Inc
• Pine Haven Home Health Care Services Inc
• Pine Havenhome Health Care Services Inc.
• Vengamamba Polu, MB,BS

• Clinical Social Worker in Kinston, NC
• Providers in Kinston, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.