Debra Anne Hudobenko, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007143 Issued in CT

Practice address

40 Union City Rd Ste 2B
Prospect, CT 06712

Phone

(475) 235-2361

NPI assigned

Apr 11, 2008

Last updated

Jan 4, 2019By 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

Other names 1

• Debra Anne Descault Former name

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: No
• 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

Locations

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.

• Currents Aligned Counseling Services, PLLC

  • Clinical Social Worker
  • Prospect, CT
  • NPI 1164995957
  Authorized official Same address or phone
• Compassionate Care Counseling LLC

  • Professional Counselor
  • Middlebury, CT
  • NPI 1932757515
  NPD

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1679746440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MATTHEW ST",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121414",
            "telephone_number": "035-182-9772",
            "fax_number": "203-757-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 UNION CITY RD STE 2B",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "06712",
            "telephone_number": "475-235-2361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 Wolcott St",
            "address_2": "Catholic Charities",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067021727",
            "country_code": "US",
            "telephone_number": "203-596-9359 x256",
            "fax_number": "203-757-9753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "984 Southford Rd",
            "address_purpose": "LOCATION",
            "city": "Middlebury",
            "state": "CT",
            "postal_code": "06762",
            "country_code": "US",
            "telephone_number": "203-758-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDOBENKO",
        "first_name": "DEBRA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "DESCAULT",
            "middle_name": "ANNE",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clinical Social Worker in Prospect, CT
• Providers in Prospect, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.