Deborah O'Donnell, LCSW, LCDC, CART
Individual provider Active NPI Clinical Social Worker · Onalaska, TX
NPI 1609294388 · NPPES record last updated Jun 6, 2023
Key facts
- NPI
- 1609294388
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 40985 (TX)
- Practice address
- 578 Lakeview HBR
Onalaska, TX 77360-7434 - Phone
- (281) 768-0121
- Fax
- (936) 398-6867
- NPI assigned
- Mar 31, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20190315001215 | TX | Practitioner - Clinical Social Worker | 1153661855 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12098 | TX | MD | General Practice Dentistry |
| 40985 | TX | MD | Speech-Language Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12098 | TX | |
| Clinical Social Worker | 1041C0700X | 40985 | TX | Yes |
Addresses
Primary practice location
578 Lakeview HBR
Onalaska, TX 77360-7434
Mailing address
578 Lakeview HBR
Onalaska, TX 77360-7434
Phone (281) 768-0121
Other providers in Onalaska, TX
- Calm Mind Counseling, PLLC
- Golden Elixir Solutions
- Amy Jones
- Lewis a. Landsman, OD, PC
- Brandy Midura
- Onalaska Isd
- Onalaska Wellness and Aesthetics Works LLC
- Patricia A Palmer
- Paloma Perez
- Kenneth Duane Roland
All providers in Onalaska, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2023. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.