Debra Lou Baune, MSW CSW PIP

Individual provider Active NPI Social Worker · Watertown, SD

NPI 1891780839 · NPPES record last updated Mar 16, 2010

Key facts

NPI
1891780839
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
1962 (SD)
Practice address
123 19TH St NE
Watertown, SD 57201-2823
Phone
(605) 886-0123
Fax
(605) 886-5447
NPI assigned
Sep 15, 2005
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1962SDMDSocial Worker
937SDMDDentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1962 SD Yes

Addresses

Primary practice location

123 19TH St NE
Watertown, SD 57201-2823

Mailing address

PO Box 1030
Watertown, SD 57201-6030
Phone (605) 886-0123

Other names

  • Ms. Debra Lou Rogers Former name

Other providers in Watertown, SD

All providers in Watertown, SD · Social Worker in South Dakota

Sources for this page

Verify at the official NPI Registry.