Active NPI
Barbara Lee Deberry, LCSW
- Social Worker
- Milwaukee, WI
National Provider Identifier
1710209770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 7475-123
- Practice address
- 6815 W Capitol Dr
Ste 118
Milwaukee, WI 53216-2056 - Phone
- (414) 416-1032
- NPI assigned
- Feb 18, 2010
- Last updated
- Jun 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7475-123 | WI | Primary |
| Clinical Social Worker | 1041C0700X | 7475-123 | WI |
Addresses
Primary practice location
6815 W Capitol Dr
Ste 118
Milwaukee, WI 53216-2056
Mailing address
6815 W Capitol Dr
Ste 118
Milwaukee, WI 53216-2056
Phone (414) 416-1032
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710209770 | Medicaid | WI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7475-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milwaukee Mental Health Associates, Inc. | Past | Accepting new patients | |
| Milwaukee Mental Health Associates, Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Milwaukee, WI
- NPI 1528316775
-
- Community/Behavioral Health Agency
- Milwaukee, WI
- NPI 1730337338
-
- Community/Behavioral Health Agency
- Milwaukee, WI
- NPI 1154594406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465171200000",
"number": "1710209770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6815 W CAPITOL DR",
"address_2": "STE 118",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532162056",
"telephone_number": "414-416-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6815 W CAPITOL DR",
"address_2": "STE 118",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532162056",
"telephone_number": "414-416-1032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBERRY",
"first_name": "BARBARA",
"middle_name": "LEE",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-18",
"last_updated": "2016-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "7475-123",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "7475-123",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1710209770",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.