Individual provider Active NPI

Deborah Jean Upton, LCSW

  • Clinical Social Worker
  • Utica, MS
National Provider Identifier
1750004610
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801115075 Issued in MI
Practice address
2263 Chapel Hill Rd
Utica, MS 39175-9025
Phone
(601) 397-0499
NPI assigned
Sep 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C9015 MS
Clinical Social Worker 1041C0700X 6801115075 MI Primary

Addresses

Primary practice location

2263 Chapel Hill Rd
Utica, MS 39175-9025

Mailing address

2263 Chapel Hill Rd
Utica, MS 39175-9025
Phone (601) 397-0499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20230210000542 MI Practitioner - Clinical Social Worker 6204208747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unite UpGroup PAC ID 2668877531, 4 clinicians

Practice addresses (Care Compare)

1014 College Ave
Houghton, MI 49931-1823
Phone (904) 861-8233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801115075MIMDClinical Social Worker
C9015MSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Unite Up Clinical CurrentSince Jan 1, 2023 Accepting new patients

Locations

1014 College Ave
Ofc
Houghton, MI 49931
Phone (904) 861-8233

1014 College Ave
Houghton, MI 49931
Phone (906) 482-6800

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": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1750004610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2263 CHAPEL HILL RD",
            "city": "UTICA",
            "state": "MS",
            "postal_code": "391759025",
            "telephone_number": "601-397-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2263 CHAPEL HILL RD",
            "city": "UTICA",
            "state": "MS",
            "postal_code": "391759025",
            "telephone_number": "601-397-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPTON",
        "first_name": "DEBORAH",
        "middle_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2025-06-04",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C9015",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801115075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, MS

Sources for this page

Verify at the official NPI Registry.