Debra Dubose, MSW LICENSED CLINICA

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

47-1121769 Issued in FL

Practice address

1720 N Pace Blvd
Pensacola, FL 32505-6032

Phone

(850) 723-0042

NPI assigned

Sep 9, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1689075673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 N PACE BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325056032",
            "telephone_number": "850-723-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 N PACE BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325056032",
            "telephone_number": "850-723-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOSE",
        "first_name": "DEBRA",
        "credential": "MSW LICENSED CLINICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "47-1121769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARMENT OF HEALTH",
            "identifier": "SW 4505",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DRS Carlson, Hollis, & Terrezza and Associates, Inc
• DRS Rickoff and Rickoff
• Lieng Kim Du, M.D.
• Mariangela Duarte Rojas, MD
• Bryce Christopher Dubois, PT, DPT
• Yolonda Dubose, LCSW
• Kristina Ducharme, PTA
• Christina Grace Duckworth, PA-C
• Sinticky Ducote, APRN
• Tansley Ducote

• Case Manager/Care Coordinator in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.