Individual provider Active NPI

Deborah R. Zabin, LCSW

  • Clinical Social Worker
  • Trumbull, CT
National Provider Identifier
1639218092
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002113 Issued in CT
Practice address
131 Old Dike Rd
Trumbull, CT 06611-3311
Phone
(203) 377-5470
Fax
(203) 377-5470
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 002113 CT Primary

Addresses

Primary practice location

131 Old Dike Rd
Trumbull, CT 06611-3311

Mailing address

131 Old Dike Rd
Trumbull, CT 06611-3311
Phone (203) 377-5470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20040713000557 CT Practitioner - Clinical Social Worker 0042298374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

94 Chalker Beach Rd
Old Saybrook, CT 06475-1734
Phone (203) 610-4868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002113CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Resource Services, LLC Clinical CurrentSince Oct 1, 2002 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639218092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 OLD DIKE RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113311",
            "telephone_number": "203-377-5470",
            "fax_number": "203-377-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 OLD DIKE RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113311",
            "telephone_number": "203-377-5470",
            "fax_number": "203-377-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABIN",
        "first_name": "DEBORAH",
        "middle_name": "R.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.