Deborah I Haggett, ED.D, LCSW
Individual provider Active NPI Clinical Social Worker · Tabernacle, NJ
NPI 1649459074 · NPPES record last updated Nov 1, 2007
Key facts
- NPI
- 1649459074
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC04501300 (NJ)
- Practice address
- 17 Red Oak Dr
Tabernacle, NJ 08088-8525 - Phone
- (856) 988-9727
- Fax
- (609) 268-2573
- NPI assigned
- Nov 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC04501300 | NJ | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC04501300 | NJ | Yes |
Addresses
Primary practice location
17 Red Oak Dr
Tabernacle, NJ 08088-8525
Mailing address
17 Red Oak Dr
Tabernacle, NJ 08088-8525
Phone (856) 988-9727
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0094617 | Other | NJ | PARTNERSHIP FOR CHILDREN |
Other providers in Tabernacle, NJ
- Friends of Cyrus II Inc
- Friends of Cyrus II Inc
- Jane Gersbach
- Lois J. Gerst
- Good Measure Nutrition LLC
- Barbara Anne Harbora
- Jo Ann Jedryk
- Yoleidy Tatiana Johnstone
- Samantha Kohl
- Aimee Kompel
All providers in Tabernacle, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.