Individual provider Active NPI

Debora Adair Presser, LCSW

  • Clinical Social Worker
  • Van Nuys, CA
National Provider Identifier
1548588122
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS22477 Issued in CA
Practice address
7120 Hayvenhurst Ave
Suite 118
Van Nuys, CA 91406-3843
Phone
(310) 717-8664
Fax
(310) 271-1691
NPI assigned
May 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS22477 CA Primary

Addresses

Primary practice location

7120 Hayvenhurst Ave
Suite 118
Van Nuys, CA 91406-3843

Mailing address

7120 Hayvenhurst Ave
Suite 118
Van Nuys, CA 91406-3843
Phone (310) 717-8664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130117000251 CA Practitioner - Clinical Social Worker 9436302700 Practice locations: Sherman Oaks, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS22477CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273104000000",
    "number": "1548588122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 HAYVENHURST AVE",
            "address_2": "SUITE 118",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063843",
            "telephone_number": "310-717-8664",
            "fax_number": "310-271-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 HAYVENHURST AVE",
            "address_2": "SUITE 118",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063843",
            "telephone_number": "310-717-8664",
            "fax_number": "310-271-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESSER",
        "first_name": "DEBORA",
        "middle_name": "ADAIR",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS22477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.