Traci Kathryn Debatis, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

50 Chestnut Street
Dover, NH 03820-3490

Phone

(603) 516-9300

Fax

(603) 743-1850

NPI assigned

Aug 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Behavioral Health and Developmental Services of Strafford County, Inc

  • Community/Behavioral Health Agency
  • Rochester, NH
  • NPI 1285793190
  NPD (past)
• The Mental Health Center of Greater Manchester

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manchester, NH
  • NPI 1609848811
  NPD (past)

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1508345919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CROSBY ROAD",
            "address_2": "SUITE 1",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204370",
            "telephone_number": "603-516-9300",
            "fax_number": "603-740-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CHESTNUT STREET",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203490",
            "telephone_number": "603-516-9300",
            "fax_number": "603-743-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBATIS",
        "first_name": "TRACI",
        "middle_name": "KATHRYN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Roberto De Aguirre, M.D.
• Ashley Rodrigues De Souza, MA
• Dennis Dean, CRNA
• Evan Dean
• Lauren Marie Debaene, CMHC
• Shelby Debruyn
• Karla M Deinstadt, RN
• Stacey L Delbridge, D.D.S.
• Linda M. Demo, LICSW
• Paul M Denaro, CRNA

• Clinical Social Worker in Dover, NH
• Providers in Dover, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.