Debra Maddox Hoosier, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1460-4191C Issued in AL

Practice address

333 Business Cir
Pelham, AL 35124-1778

Phone

(205) 255-3828

NPI assigned

Nov 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crown E-Therapy and Consulting LLCGroup PAC ID 9436569563, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Crown E-Therapy & Consulting LLC

  • Clinical Social Worker
  • Sterrett, AL
  • NPI 1710598180
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1629547344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 BUSINESS CIR",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241778",
            "telephone_number": "205-255-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BUSINESS CIR",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241778",
            "telephone_number": "205-255-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOSIER",
        "first_name": "DEBRA",
        "middle_name": "MADDOX",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1460-4191C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Elizabeth Hill, OTR
• Camille Eden Holcomb
• Deborah Lynn Holden
• Memeco Holifield, RN
• Jinida Ashley Holt
• Hoover Eye Care, Inc (Day Eye Center)
• Crystal Yvette Hopson
• Sharon Host, OTR
• Hoveround Corporation (Hoveround Mobility Solutions)
• Charlotte Monique Howard-Heard, MA,CCC-SLP

• Clinical Social Worker in Pelham, AL
• Providers in Pelham, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.