Debra Anne Hudobenko, LCSW
Individual provider Active NPI Clinical Social Worker · Prospect, CT
NPI 1679746440 · NPPES record last updated Jan 4, 2019
Key facts
- NPI
- 1679746440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 007143 (CT)
- Practice address
- 40 Union City Rd Ste 2B
Prospect, CT 06712 - Phone
- (475) 235-2361
- NPI assigned
- Apr 11, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100122000673 | CT | Practitioner - Clinical Social Worker | 9931241320 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007143 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassionate Care Counseling LLC | Current |
Accepting new patients |
Locations
984 Southford Rd
Middlebury, CT 06762
Phone (203) 758-2400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 007143 | CT | Yes |
Addresses
Primary practice location
40 Union City Rd Ste 2B
Prospect, CT 06712
Mailing address
88 Matthew St
Prospect, CT 06712-1414
Phone (035) 182-9772
Other practice location 1
13 Wolcott St
Catholic Charities
Waterbury, CT 06702-1727
Phone (203) 596-9359 ext. 256
Other practice location 2
984 Southford Rd
Middlebury, CT 06762
Phone (203) 758-2400
Other names
- Debra Anne Descault
Other providers in Prospect, CT
- Deborah Grove
- Robert Steven Guynn
- George J Hajjar
- Gary Arthur Higgins
- Jeffrey Hoerst
- Hwang Long Term Dental
- I Care Eye Care L.L.C.
- Brooke Cady Iannone
- Mary Ann Indorf
- Into Action Counseling Services
All providers in Prospect, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.