Out of Disorder, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

OUT OF DISORDER, PLLC

Practice address

967 Lone Deer Dr
Monument, CO 80132-9285

Phone

(719) 337-4294

NPI assigned

Dec 6, 2024

Organization subpart

No

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

Authorized official

Name

Deby Williamson, LCSW

Title

Member

Phone

(719) 337-4294

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah L Williamson, LCSW

  • Clinical Social Worker
  • Monument, CO
  • NPI 1588909246
  Medicare reassignment NPD

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1720894546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 LONE DEER DR",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329285",
            "telephone_number": "719-337-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 LONE DEER DR",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329285",
            "telephone_number": "719-337-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUT OF DISORDER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "DEBY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "719-337-4294",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Monument, CO
• Providers in Monument, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.