Provider Demographics
NPI:1225277874
Name:DEBANY, JAMES (LCSW-R)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:DEBANY
Suffix:
Gender:M
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 VIOLET AVE
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-1521
Mailing Address - Country:US
Mailing Address - Phone:845-452-5772
Mailing Address - Fax:845-452-9338
Practice Address - Street 1:36 VIOLET AVE
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-1521
Practice Address - Country:US
Practice Address - Phone:845-452-5772
Practice Address - Fax:845-452-9338
Is Sole Proprietor?:No
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO46896-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical