Active NPI
Abbey Michelle Debaene, LCSW, CADC
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1477272227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1224 W Pratt Blvd Apt 2S
Chicago, IL 60626-4350 - Phone
- (630) 618-8898
- NPI assigned
- Aug 24, 2022
- Last updated
- Aug 24, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 36445 | IL | |
| Clinical Social Worker | 1041C0700X | IL | Primary |
Addresses
Primary practice location
1224 W Pratt Blvd Apt 2S
Chicago, IL 60626-4350
Mailing address
1224 W Pratt Blvd Apt 2S
Chicago, IL 60626-4350
Phone (630) 618-8898
Other practice location 1
3665 N Broadway St
Chicago, IL 60613-4567
Phone (773) 496-4433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36445 | IL | MD | Addiction (Substance Use Disorder) Counselor |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1063803856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1477272227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 W PRATT BLVD APT 2S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606264350",
"telephone_number": "630-618-8898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 W PRATT BLVD APT 2S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606264350",
"telephone_number": "630-618-8898"
}
],
"practiceLocations": [
{
"address_1": "3665 N Broadway St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606134567",
"country_code": "US",
"telephone_number": "773-496-4433",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEBAENE",
"first_name": "ABBEY",
"middle_name": "MICHELLE",
"credential": "LCSW, CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-24",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "36445",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.