Provider Demographics
NPI:1013033695
Name:COTTON, DEBORAH BELL (MSW)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:BELL
Last Name:COTTON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 RICHARD AVE
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-2313
Mailing Address - Country:US
Mailing Address - Phone:516-379-4345
Mailing Address - Fax:
Practice Address - Street 1:20 RICHARD AVE
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-2313
Practice Address - Country:US
Practice Address - Phone:516-379-4345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR01538511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical