Patricia Dawn Debermuda, LCSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

11449 Issued in AZ

Practice address

1817 N 7TH St
Phoenix, AZ 85006-2133

Phone

(602) 257-3814

Fax

(602) 257-3924

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Phoenix Elementary School District #1

  • Local Education Agency (LEA)
  • Phoenix, AZ
  • NPI 1013046556
  NPD (past)
• Phoenix Elementary School District #1

  • School Social Worker
  • Phoenix, AZ
  • NPI 1750595914
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992919286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062133",
            "telephone_number": "602-257-3814",
            "fax_number": "602-257-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062133",
            "telephone_number": "602-257-3814",
            "fax_number": "602-257-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBERMUDA",
        "first_name": "PATRICIA",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "AZ",
            "license": "11449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• School Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• School Social Worker in Arizona

• 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.

Verify at the official NPI Registry.