Active NPI
Debra Milinsky
- Clinical Social Worker
- Vallejo, CA
National Provider Identifier
1912044033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS7158
- Practice address
- 1761 Broadway St Ste 100
Vallejo, CA 94589-2227 - Phone
- (707) 645-2291
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS7158 | CA | Primary |
Addresses
Primary practice location
1761 Broadway St Ste 100
Vallejo, CA 94589-2227
Mailing address
1761 Broadway St
Suite 100
Vallejo, CA 94589-2226
Phone (510) 525-7575
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS7158 | CA | MD | Clinical Social Worker |
| 7158 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912044033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1761 BROADWAY ST",
"address_2": "SUITE 100",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945892226",
"telephone_number": "510-525-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1761 BROADWAY ST STE 100",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945892227",
"telephone_number": "707-645-2291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILINSKY",
"first_name": "DEBRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS7158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.