Deborah Ebhuoma, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R080898-01 Issued in NY

Practice address

1600 7TH Ave
Troy, NY 12180-3410

Phone

(518) 270-2800

Fax

(518) 270-2723

NPI assigned

Mar 5, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, PA2 enrollments

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 2

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 and National Provider Directory roles.

• Rensselaer County Bureau of Finance

  • Mental Health Counselor
  • Troy, NY
  • NPI 1932130358
  Medicare reassignment NPD
• Sri Psychological Services, PC

  • Psychologist
  • Jenkintown, PA
  • NPI 1730259904
  Medicare reassignment NPD

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1508995440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 7TH AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803410",
            "telephone_number": "518-270-2800",
            "fax_number": "518-270-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 7TH AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803410",
            "telephone_number": "518-270-2800",
            "fax_number": "518-270-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBHUOMA",
        "first_name": "DEBORAH",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R080898-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEW YORK EDUCATION LICENSE",
            "identifier": "080898-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Louise Earshen, MD
• East Hudson Oral and Maxillofacial Surgery, PLLC
• Erin Easter, LPN
• Jeidga Cherie Ebanks, LPN
• Erik D Ebbing, OD
• Martin P Echt, MD
• Eckerd Corporation
• Gretchen Eddy, RN
• Eden Park Health Services, Inc
• Ann Edie, TVI

• Clinical Social Worker in Troy, NY
• Providers in Troy, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.