Individual provider Active NPI

Lidiah Mae Scholtes-Debonis

  • Social Worker
  • East Greenbush, NY
National Provider Identifier
1922980903
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
125041 Issued in NY
Practice address
177 Werking Rd
East Greenbush, NY 12061-9302
Phone
(320) 266-5688
NPI assigned
Jul 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 125041 NY Primary

Addresses

Primary practice location

177 Werking Rd
East Greenbush, NY 12061-9302

Mailing address

177 Werking Rd
East Greenbush, NY 12061-9302
Phone (320) 266-5688

Other names 1

  • Lidiah Mae Scholtes Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
125041NYMDSocial Worker

Interoperability endpoints

  • Direct secure messaging: lidiah.scholtes-debonis@532070890209284.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1922980903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 WERKING RD",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120619302",
            "telephone_number": "320-266-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 WERKING RD",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120619302",
            "telephone_number": "320-266-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLTES-DEBONIS",
        "first_name": "LIDIAH",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "125041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIDIAH",
            "last_name": "SCHOLTES",
            "middle_name": "MAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Greenbush, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.