Organization Active NPI

Debra T. Segal Counseling, P.a.

  • Clinical Social Worker
  • Winter Haven, FL
National Provider Identifier
1912130576
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW528 Issued in FL
Legal business name
DEBRA T. SEGAL COUNSELING, P.A.
Practice address
65 3Rd St NW
Suite 210
Winter Haven, FL 33881-4670
Phone
(863) 299-2202
Fax
(863) 299-9661
NPI assigned
Aug 31, 2009
Last updated
Nov 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Mrs. Debra T Segal
Title
Owner
Phone
(863) 299-2202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW528 FL Primary

Addresses

Primary practice location

65 3Rd St NW
Suite 210
Winter Haven, FL 33881-4670

Mailing address

65 3Rd St NW
Suite 210
Winter Haven, FL 33881-4670
Phone (863) 299-2202

National Provider Directory

National Provider Directory

Locations

65 3rd St NW
Ste 210
Winter Haven, FL 33881
Phone (863) 299-2202

NPI Registry JSON

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1912130576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 3RD ST NW",
            "address_2": "SUITE 210",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814670",
            "telephone_number": "863-299-2202",
            "fax_number": "863-299-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 3RD ST NW",
            "address_2": "SUITE 210",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814670",
            "telephone_number": "863-299-2202",
            "fax_number": "863-299-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA T. SEGAL COUNSELING, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-299-2202",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.