Deborah Kay Abbey, LICSW
Individual provider Active NPI Clinical Social Worker · Fargo, ND
NPI 1891898417 · NPPES record last updated Dec 19, 2007
Key facts
- NPI
- 1891898417
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2910 (ND)
- Practice address
- 100 4TH St S
Fargo, ND 58103-1929 - Phone
- (701) 234-4141
- Fax
- (701) 234-4137
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13771 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie St Johns | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 13771 | MA | |
| Clinical Social Worker | 1041C0700X | 2910 | ND | Yes |
Addresses
Primary practice location
100 4TH St S
Fargo, ND 58103-1929
Mailing address
100 4TH St S
Fargo, ND 58103-1929
Phone (701) 234-4141
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP32933 | Other | HEALTHPARTNERS | |
| 19138 | Medicaid | ND |
Other names
- Deborah Kay Moulds
Other providers in Fargo, ND
- Aaron Renelt, D.C.
- Tia Aas
- Sheena Marie Aaser
- Mary Aasness
- Payton Aasved
- Alexis J Abbott
- David W. Abbott
- Sarah Abbott
- Stephanie Anne Abbott
- Abc Chiropractic PC
All providers in Fargo, ND · Clinical Social Worker in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2007. 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.