Active NPI
Debra Franklin, L.C.S.W.
- Clinical Social Worker
- Ellenville, NY
National Provider Identifier
1720101520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 086035
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004149515 | Medicaid | CT | |
| 004149515 | Medicaid | NY | |
| 338146 | Other | CT | MHN |
| HAS425 | Other | CT | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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)
| Organization | Specialty | Status | New 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.
-
- Clinical Social Worker
- Bloomfield, CT
- NPI 1124584982
-
- General Practice Dentistry
- Granby, CT
- NPI 1295889517
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.