Provider Demographics
NPI:1023566254
Name:KAISER-CROSS, DEBORAH PATRICIA (LCSW)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:PATRICIA
Last Name:KAISER-CROSS
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 1:9625 N MILITARY TRL
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-5498
Mailing Address - Country:US
Mailing Address - Phone:561-622-5423
Mailing Address - Fax:561-626-3592
Practice Address - Street 1:9625 N MILITARY TRL
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-5498
Practice Address - Country:US
Practice Address - Phone:561-622-5423
Practice Address - Fax:561-626-3592
Is Sole Proprietor?:No
Enumeration Date:2016-09-16
Last Update Date:2016-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 65381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical