Provider Demographics
NPI:1003401977
Name:LITTLE, DEBBI LEE (LCSW)
Entity Type:Individual
Prefix:
First Name:DEBBI
Middle Name:LEE
Last Name:LITTLE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 SALLY LN
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:KY
Mailing Address - Zip Code:42051-9172
Mailing Address - Country:US
Mailing Address - Phone:618-889-4591
Mailing Address - Fax:
Practice Address - Street 1:130 SALLY LN
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:KY
Practice Address - Zip Code:42051-9172
Practice Address - Country:US
Practice Address - Phone:618-889-4591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-03
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0079551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical