Active NPI
Debra Jean Lawrence, LCSW
- Clinical Social Worker
- Pueblo, CO
National Provider Identifier
1699285197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09924623
- Practice address
- 4776 Eagleridge Cir
Pueblo, CO 81008-2189 - Phone
- (719) 553-1000
- NPI assigned
- Oct 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW.09924623 | CO | Primary |
Addresses
Primary practice location
4776 Eagleridge Cir
Pueblo, CO 81008-2189
Mailing address
2310 Bruno Cir
Colorado Springs, CO 80916-2670
Phone (719) 238-6894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW.09924623 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507593600000",
"number": "1699285197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 BRUNO CIR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809162670",
"telephone_number": "719-238-6894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4776 EAGLERIDGE CIR",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810082189",
"telephone_number": "719-553-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "DEBRA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-10",
"last_updated": "2017-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09924623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.