Deborah Kay Perry, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15448 Issued in MN

Practice address

1600 Arboretum Blvd Ste 103
Victoria, MN 55386-4303

Phone

(952) 855-8801

Fax

(847) 474-4426

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WI, MN2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• VCC Counseling, Inc.

  • Clinical Psychologist
  • South Elgin, IL
  • NPI 1477563641

  Clinical

  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732924800000",
    "number": "1831228519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553860074",
            "telephone_number": "952-855-8801",
            "fax_number": "847-474-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ARBORETUM BLVD STE 103",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553864303",
            "telephone_number": "952-855-8801",
            "fax_number": "847-474-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "DEBORAH",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8619-123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "15448",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.011087",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Jo Oxendale, M.A.
• Laramee Jessen Paradise, CMT
• Rebecca A Pauly, BS DC
• Kathleen M Peglow
• Patricia Peichel, SLP
• Deborah Peters, OTR
• Jill E Ponce, PHARMD
• Power of Life Chiropractic, P.a.
• Sara Provo, LPCC
• Michele Therese Pulvermacher, MS CCC SLP

• Clinical Social Worker in Victoria, MN
• Providers in Victoria, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.