Debra B Kluttz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006546 Issued in VA

Practice address

300 Moore St
Suite a
Bristol, VA 24201-4337

Phone

(276) 591-5301

Fax

(276) 591-5304

NPI assigned

Jul 25, 2007

Last updated

Jul 25, 2007By the provider in NPPES

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 VA

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healing Waters Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Richlands, VA
  • NPI 1124329388

  Clinical

  Medicare reassignment NPD
• Holston Um Home for Children

  dba Holston Family Services

  • Counselor
  • Bristol, VA
  • NPI 1669578886
  NPD (past)

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1669672853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MOORE ST",
            "address_2": "SUITE A",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242014337",
            "telephone_number": "276-591-5301",
            "fax_number": "276-591-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MOORE ST",
            "address_2": "SUITE A",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242014337",
            "telephone_number": "276-591-5301",
            "fax_number": "276-591-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUTTZ",
        "first_name": "DEBRA",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Karriker, LPN
• David Randolph Kelly, DDS
• Donna Louise Kendrick, PMH-NP
• Cortney Kinder
• Samantha Joyce Klug
• Martha Cross Knox, P.T.
• Johnny Clay Koehn
• Tiffany Nicole Kotlarz
• Kroger Limited Partnership I (Kroger Pharmacy)
• Jill Nicole Lambert

• Clinical Social Worker in Bristol, VA
• Providers in Bristol, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.