Deborah Jo Vallandingham, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801094515 Issued in MI

Practice address

11855 N Beck Rd
Plymouth, MI 48170-5232

Phone

(734) 560-5797

NPI assigned

Dec 31, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dragon Fly Way Counseling LLC

  • Social Worker
  • Plymouth, MI
  • NPI 1326823618

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1497227441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 NEWBURGH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545010",
            "telephone_number": "734-464-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11855 N BECK RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481705232",
            "telephone_number": "734-560-5797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14100 Newburgh Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481545010",
            "country_code": "US",
            "telephone_number": "734-464-2683 x5551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLANDINGHAM",
        "first_name": "DEBORAH",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-31",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041C0700X",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamela Ann Moore Valencia, PT
• Kimberley Valent
• Stephanie Valent
• Tara Valentine
• Aaron Valiquette
• Diana Alejandra Valles-Roque
• Amanda Vallone
• Rachel Van Dyke, SLP
• Laura E Van Reyendam
• Erin Elizabeth Van Tiem, PA-C

• Clinical Social Worker in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.