Organization Active NPI

Deborah L Schmuckal LCSW LLC

  • Clinical Social Worker
  • Pueblo, CO
National Provider Identifier
1962940353
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.00000723 Issued in CO
Legal business name
DEBORAH L SCHMUCKAL LCSW LLC
Practice address
5606 Walsh Rd
Pueblo, CO 81004-9723
Phone
(719) 671-0838
NPI assigned
Feb 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Deborah L Schmuckal, LCSW
Title
LCSW
Phone
(719) 671-0838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW.00000723 CO Primary

Addresses

Primary practice location

5606 Walsh Rd
Pueblo, CO 81004-9723

Mailing address

5606 Walsh Rd
Pueblo, CO 81004-9723
Phone (719) 671-0838

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1962940353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 WALSH RD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810049723",
            "telephone_number": "719-671-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 WALSH RD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810049723",
            "telephone_number": "719-671-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH L SCHMUCKAL LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "SCHMUCKAL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "719-671-0838",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.00000723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.