Individual provider Active NPI

Deborah Lane Filizetti

  • Clinical Social Worker
  • Flower Mound, TX
National Provider Identifier
1861161960
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2002012584 Issued in MO
Practice address
3304 Druid Way
Flower Mound, TX 75028-2926
Phone
(417) 434-6263
NPI assigned
Sep 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2002012584 MO Primary

Addresses

Primary practice location

3304 Druid Way
Flower Mound, TX 75028-2926

Mailing address

3304 Druid Way
Flower Mound, TX 75028-2926
Phone (417) 434-6263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2002012584MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1861161960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 DRUID WAY",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282926",
            "telephone_number": "417-434-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 DRUID WAY",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282926",
            "telephone_number": "417-434-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILIZETTI",
        "first_name": "DEBORAH",
        "middle_name": "LANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2002012584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.