Active NPI
Debbe Jean Noonan, LCSW
- Clinical Social Worker
- The Villages, FL
National Provider Identifier
1619241270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13796
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 13796 | FL | MD | Clinical 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.