Individual provider Active NPI

Deborah S Zoller, LCSW

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1902824568
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005076 Issued in NC
Practice address
1937 W Cornwallis Rd
Durham, NC 27705-5707
Phone
(919) 354-4922
Fax
(919) 354-4960
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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 C005076 NC Primary

Addresses

Primary practice location

1937 W Cornwallis Rd
Durham, NC 27705-5707

Mailing address

1937 W Cornwallis Rd
Durham, NC 27705-5707
Phone (919) 354-4922

Other identifiers 2

IdentifierTypeStateIssuer
6106538MedicaidNC
1400VOtherNCBCBS

Other names 1

  • Debbie Siegel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20141211001733 PA Practitioner - Clinical Social Worker 9234159831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jewish Family Service of the Lehigh ValleyGroup PAC ID 6103803853, 2 clinicians

Practice addresses (Care Compare)

2004 W Allen St
Allentown, PA 18104-5007
Phone (610) 821-8722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of the Lehigh Valley Clinical CurrentSince Dec 17, 2012 Accepting new patients
Durham-Chapel Hill Jewish Federation PastSince Jun 13, 2013 Accepting new patients

Locations

2004 W Allen St
Allentown, PA 18104
Phone (610) 435-0956

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1902824568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 W CORNWALLIS RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277055707",
            "telephone_number": "919-354-4922",
            "fax_number": "919-354-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1937 W CORNWALLIS RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277055707",
            "telephone_number": "919-354-4922",
            "fax_number": "919-354-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLLER",
        "first_name": "DEBORAH",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106538",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1400V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBBIE",
            "last_name": "SIEGEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.