Individual provider Active NPI

Deborah Shubouf, LISW

  • Social Worker
  • Dublin, OH
National Provider Identifier
1730294885
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I-0003269 Issued in OH
Practice address
299 Cramer Creek CT
Dublin, OH 43017-2586
Phone
(614) 889-5722
Fax
(614) 889-9335
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I-0003269 OH Primary

Addresses

Primary practice location

299 Cramer Creek CT
Dublin, OH 43017-2586

Mailing address

299 Cramer Creek CT
Dublin, OH 43017-2586
Phone (614) 889-5722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20111219000312 OH Practitioner - Clinical Social Worker 4789859802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Syntero IncGroup PAC ID 8224020466, 33 clinicians

Practice addresses (Care Compare)

299 Cramer Creek CT
Dublin, OH 43017-2586
Phone (614) 889-5722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0003269OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Syntero, Inc. Social Worker CurrentSince Mar 27, 2000 Accepting new patients

Locations

299 Cramer Creek Ct
Dublin, OH 43017
Phone (614) 889-5722

Organizations & group practices 1

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1730294885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 CRAMER CREEK CT",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172586",
            "telephone_number": "614-889-5722",
            "fax_number": "614-889-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 CRAMER CREEK CT",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172586",
            "telephone_number": "614-889-5722",
            "fax_number": "614-889-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUBOUF",
        "first_name": "DEBORAH",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I-0003269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.