Deborah Austin, LMSW, CASAC
Individual provider Active NPI Social Worker · Shirley, NY
NPI 1851964217 · NPPES record last updated Jul 26, 2021
Key facts
- NPI
- 1851964217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 113457 (NY)
- Practice address
- 143 Alcolade Dr E
Shirley, NY 11967-3838 - Phone
- (631) 637-0533
- NPI assigned
- Jul 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113457 | NY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 113457 | NY | Yes |
Addresses
Primary practice location
143 Alcolade Dr E
Shirley, NY 11967-3838
Mailing address
143 Alcolade Dr E
Shirley, NY 11967-3838
Other providers in Shirley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.