Debora J Higginbotham, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

06105 Issued in KS

Practice address

304 N Jefferson Ave
Iola, KS 66749-2327

Phone

(620) 365-5717

Fax

(620) 365-8255

NPI assigned

May 15, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Clinical Social Worker

Education

University of Kansas School of Med (KC/Wich/Sal), 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southeast Kansas Mental Health CenterGroup PAC ID 3870562879, 17 clinicians

Practice addresses (Care Compare)

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.

• Southeast Kansas Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Humboldt, KS
  • NPI 1467414771
  Medicare reassignment Care Compare group NPD
• Pawnee Mental Health Service, Inc.

  • Primary Care Clinic/Center
  • Manhattan, KS
  • NPI 1356139158
  NPD (past)

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1578822243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N JEFFERSON AVE",
            "city": "IOLA",
            "state": "KS",
            "postal_code": "667492327",
            "telephone_number": "620-365-5717",
            "fax_number": "620-365-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N JEFFERSON AVE",
            "city": "IOLA",
            "state": "KS",
            "postal_code": "667492327",
            "telephone_number": "620-365-5717",
            "fax_number": "620-365-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINBOTHAM",
        "first_name": "DEBORA",
        "middle_name": "J",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "149",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "06105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Haworth, M.A.
• Health Management of Kansas, Inc.
• Heartland Meadows LLC
• John A Helton, PH D
• Scout Henry
• Nicole Rae Hines, LMSW
• Michelle A Hoag, LMSW
• Richard L Hull, DO
• Iola Pharmacy Inc
• Iola Pharmacy Inc

• Clinical Social Worker in Iola, KS
• Providers in Iola, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.