Active NPIIndividual providerSole proprietor

Andy Debaun, LCSW

Social Worker, Clinical in Jersey City, New Jersey

NPI Number1114128246
Practice location
207 Warren St, # 3, Jersey City, NJ 07302-4411
Fax
—
Last updated
February 12, 2016

Andy Debaun is a Social Worker, Clinical based in Jersey City, NJ. Andy Debaun practices in Jersey City, NJ and has the professional credentials of LCSW. The NPI Number for Andy Debaun is 1114128246 and holds a License No. 069448 (NY). The current practice location address for Andy Debaun is 207 Warren St, # 3, Jersey City, NJ 07302-4411 and can be reached out via phone at 914-400-3160.

Provider Profile Details

NPI Number
1114128246
Provider Name
Andy Debaun
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
207 Warren St, # 3, Jersey City, NJ 07302-4411
Phone Number
914-400-3160
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
May 29, 2007
Last Update Date
February 12, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
207 Warren St
# 3
Jersey City, NJ 07302-4411
Zip
07302-4411
Phone Number
914-400-3160
Jersey City, NJ 07302Get directions →

Provider Business Mailing Address Details

Address
29 W 76TH St
Apt. 2
New York, NY 10023-1518
City
New York
State
NY
Zip
10023-1518
Phone Number
914-400-3160

License Information

License Number
069448
License State
NY
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Andy Debaun, LCSW?

The NPI number of Andy Debaun, LCSW is 1114128246. It was assigned on May 29, 2007 and is currently active in the NPPES registry.

What is the specialty of Andy Debaun, LCSW?

Andy Debaun, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 069448.

Where does Andy Debaun, LCSW practice?

The practice location is 207 Warren St, # 3, Jersey City, NJ 07302-4411. The office can be reached at 914-400-3160 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114128246 directly on the NPPES registry website.

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