Debbie Letourneau, LMSW
Individual provider Active NPI Clinical Social Worker · Monroe, MI
NPI 1609290972 · NPPES record last updated Mar 16, 2022
Key facts
- NPI
- 1609290972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801109561 (MI)
- Practice address
- 1001 S Raisinville Rd
Monroe, MI 48161-9754 - Phone
- (734) 243-7340
- NPI assigned
- Feb 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Counseling Center of West Michigan LLC
Practice addresses (Care Compare)
360 E Beltline Ave NE
Suite 100
Grand Rapids, MI 49506-1214
Phone (616) 805-3660
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210615002236 | MI | Practitioner - Clinical Social Worker | 6507266434 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6802079571 | MI | MD | Social Worker |
| 6801109561 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Center of West Michigan, LLC | Current |
Accepting new patients | |
| Virtuwell Therapy, LLC | Past |
Accepting new patients |
Locations
333 Bridge St NW
Ste 1120
Grand Rapids, MI 49504
Phone 61680536601005
360 E Beltline Ave NE
Ste 100
Grand Rapids, MI 49506
Phone (616) 566-1021
316 Morris Ave
Ste 200
Muskegon, MI 49440
Phone (616) 204-8984
65 S Main St
Ste A
Rockford, MI 49341
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6802079571 | MI | |
| Clinical Social Worker | 1041C0700X | 6801109561 | MI | Yes |
Addresses
Primary practice location
1001 S Raisinville Rd
Monroe, MI 48161-9754
Mailing address
1001 S Raisinville Rd
Monroe, MI 48161-9754
Phone (734) 243-7340
NPI Registry JSON
{
"created_epoch": "1391731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1609290972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 S RAISINVILLE RD",
"city": "MONROE",
"state": "MI",
"postal_code": "481619754",
"telephone_number": "734-243-7340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S RAISINVILLE RD",
"city": "MONROE",
"state": "MI",
"postal_code": "481619754",
"telephone_number": "734-243-7340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LETOURNEAU",
"first_name": "DEBBIE",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-07",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6802079571",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801109561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, MI
- Ashlynn Leach
- Lakeisha Lee
- Lemontree Family Counseling LLC
- Timothy H Lentner
- Lori Leslie
- Amanda Letterman
- Nicholas G Leventis
- Horace George Levy
- Rebecca Jo-Rademacher Lewis
- Liberty Providers LLC
All providers in Monroe, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.