Individual provider Active NPI

Debbe Jean Noonan, LCSW

  • Clinical Social Worker
  • The Villages, FL
National Provider Identifier
1619241270
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13796 Issued in FL
Practice address
416 Teague TRL
The Villages, FL 32159-3769
Phone
(352) 350-5552
NPI assigned
Feb 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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 13796 FL Primary

Addresses

Primary practice location

416 Teague TRL
The Villages, FL 32159-3769

Mailing address

PO Box 130
Silver Springs, FL 34489-0130
Phone (352) 207-7838

Other practice location 1

3150 NE 36th Ave
Lot 149
Ocala, FL 34479-3171
Phone (352) 207-7838

Other practice location 2

601 Webster St
Wildwood, FL 34785-3828
Phone (352) 350-5552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13796FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1619241270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "SILVER SPRINGS",
            "state": "FL",
            "postal_code": "344890130",
            "telephone_number": "352-207-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 TEAGUE TRL",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321593769",
            "telephone_number": "352-350-5552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3150 NE 36th Ave",
            "address_2": "Lot 149",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344793171",
            "country_code": "US",
            "telephone_number": "352-207-7838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Webster St",
            "address_purpose": "LOCATION",
            "city": "Wildwood",
            "state": "FL",
            "postal_code": "347853828",
            "country_code": "US",
            "telephone_number": "352-350-5552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOONAN",
        "first_name": "DEBBE",
        "middle_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "13796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.