Individual provider Active NPI

Debra Franklin, L.C.S.W.

  • Clinical Social Worker
  • Ellenville, NY
National Provider Identifier
1720101520
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086035 Issued in NY
Practice address
1646 Ulster Heights Rd
Ellenville, NY 12428-5733
Phone
(860) 995-3457
Fax
(888) 975-1417
NPI assigned
Apr 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 086035 NY Primary

Addresses

Primary practice location

1646 Ulster Heights Rd
Ellenville, NY 12428-5733

Mailing address

1646 Ulster Heights Rd
Ellenville, NY 12428-5733
Phone (860) 995-3457

Other practice location 1

3 Barnard Ln Ste 304
Bloomfield, CT 06002-2495
Phone (860) 995-3457

Other identifiers 4

IdentifierTypeStateIssuer
004149515MedicaidCT
004149515MedicaidNY
338146OtherCTMHN
HAS425OtherCTOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090623000591 CT Practitioner - Clinical Social Worker 1254482755 Reassigns benefits to 1 organization
Practice locations: Bloomfield, CT; East Hartford, CT; Granby, CT
I20180926002402 NY Practitioner - Clinical Social Worker 1254482755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1646 Ulster Heights Rd
Ellenville, NY 12428-5733
Phone (860) 995-3457

3 Barnard LN
Suite 310
Bloomfield, CT 06002-2495
Phone (860) 844-1069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (2 of 6)

OrganizationSpecialtyStatusNew patients
Granby Dental, LLC Past Accepting new patients
A Tree of Life Counseling Center Clinical Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1720101520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 ULSTER HEIGHTS RD",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124285733",
            "telephone_number": "860-995-3457",
            "fax_number": "888-975-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 ULSTER HEIGHTS RD",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124285733",
            "telephone_number": "860-995-3457",
            "fax_number": "888-975-1417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Barnard Ln Ste 304",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "CT",
            "postal_code": "060022495",
            "country_code": "US",
            "telephone_number": "860-995-3457",
            "fax_number": "888-975-1417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANKLIN",
        "first_name": "DEBRA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-08",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004149515",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004149515",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "338146",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "HAS425",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenville, NY

Sources for this page

Verify at the official NPI Registry.