Provider Demographics
NPI:1164519153
Name:SINGER, DEBORAH L (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:L
Last Name:SINGER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:ROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:8 BARSTOW RD, APT 3B
Mailing Address - Street 2:
Mailing Address - City:GREAK NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-3542
Mailing Address - Country:US
Mailing Address - Phone:516-647-2296
Mailing Address - Fax:516-624-6778
Practice Address - Street 1:123 SOUTH ST, SUITE 205
Practice Address - Street 2:
Practice Address - City:OYSTER BAY
Practice Address - State:NY
Practice Address - Zip Code:11771
Practice Address - Country:US
Practice Address - Phone:516-647-2296
Practice Address - Fax:516-624-6778
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101YA0400X, 1041S0200X
NYRO57801-11041C0700X
NYR0578011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02622104Medicaid
NY02622104Medicaid
NYN532B1Medicare PIN