Debra Sutcliffe, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007293 Issued in CT

Practice address

405 Main St
Danbury, CT 06810-4710

Phone

(203) 743-4412

Fax

(120) 373-8118

NPI assigned

Mar 26, 2007

Last updated

Nov 18, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Debbie Hardwick-Sutcliffe, LLC

  • Clinical Social Worker
  • Beverly, MA
  • NPI 1740645837
  Medicare reassignment NPD
• Catholic Charities of Fairfield County Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Danbury, CT
  • NPI 1205050606
  NPD (past)
• Catholic Charities of Fairfield County, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norwalk, CT
  • NPI 1972727394
  NPD (past)
• Northeast Hospital Corporation

  • Psychiatric Hospital Unit
  • Beverly, MA
  • NPI 1407827710
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1871611426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MAIN ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104710",
            "telephone_number": "203-743-4412",
            "fax_number": "120-373-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MAIN ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104710",
            "telephone_number": "203-743-4412",
            "fax_number": "120-373-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTCLIFFE",
        "first_name": "DEBRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "007293",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008003522",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Foltz Stubbs, DDS
• Latha Subramaniam, M.D.
• Jodi-Lynn Sullivan, CRNA
• Ryan Darby Summerall, M.D.
• Sundae's Touch Inc
• Michael J Sutila, D.C.
• Phillip Reid Suttles
• Debbie Suzana Morales
• Oksana Svyryd, PA-C
• Aparna Swamy, CRNA

• Clinical Social Worker in Danbury, CT
• Providers in Danbury, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.