NPIMap

Organization Active NPI

Deborah L Disney LCSW-C LLC

  • Clinical Social Worker
  • Towson, MD
National Provider Identifier
1740647247
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11296 Issued in MD
Legal business name
DEBORAH L DISNEY LCSW-C LLC
Practice address
8415 Bellona LN Ste 203
Towson, MD 21204-2066
Phone
(443) 377-3145
Fax
(410) 847-9500
NPI assigned
Jan 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Ms. Deborah L Disney, LCSW-CNPI 1689924227
Title
Principal
Phone
(443) 377-3145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 11296 MD Primary

Addresses

Primary practice location

8415 Bellona LN Ste 203
Towson, MD 21204-2066

Mailing address

8415 Bellona LN Ste 203
Towson, MD 21204-2066
Phone (443) 377-3145

Other names 1

  • Positive Changes Counseling Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160330001135 MD Part B Supplier - Clinic/Group Practice 8224335609 Receives reassigned benefits from 13 practitioners
Practice locations: Towson, MD

National Provider Directory

National Provider Directory

Locations

8415 Bellona Ln
Ste 203
Towson, MD 21204
Phone (410) 598-6023

Practitioners & affiliated clinicians

Practitioners 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1740647247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 BELLONA LN STE 203",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042066",
            "telephone_number": "443-377-3145",
            "fax_number": "410-847-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 BELLONA LN STE 203",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042066",
            "telephone_number": "443-377-3145",
            "fax_number": "410-847-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH L DISNEY LCSW-C LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "DISNEY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "443-377-3145",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Positive Changes Counseling Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Positive Changes Counseling Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.