Active NPI
Debbie Lynn Addis, LSW
- Clinical Social Worker
- Dublin, OH
National Provider Identifier
1477042075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S0019773
- Practice address
- 299 Cramer Creek CT
Dublin, OH 43017-2586 - Phone
- (614) 889-5722
- Fax
- (614) 889-9335
- NPI assigned
- May 9, 2018
- Last updated
- Sep 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S0019773 | OH | Primary |
Addresses
Primary practice location
299 Cramer Creek CT
Dublin, OH 43017-2586
Mailing address
536 Richmond Dr
Pataskala, OH 43062-8095
Phone (740) 817-1551
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
| License | State | Type | Specialty |
|---|---|---|---|
| S0019773 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567900800000",
"number": "1477042075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "536 RICHMOND DR",
"city": "PATASKALA",
"state": "OH",
"postal_code": "430628095",
"telephone_number": "740-817-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 CRAMER CREEK CT",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430172586",
"telephone_number": "614-889-5722",
"fax_number": "614-889-9335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADDIS",
"first_name": "DEBBIE",
"middle_name": "LYNN",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-09",
"last_updated": "2019-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S0019773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.