Provider Demographics
NPI:1326010158
Name:MORTON, DEBRA ROBBINS (LCSW)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:ROBBINS
Last Name:MORTON
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 1:256 N WITCHDUCK RD
Mailing Address - Street 2:STE G
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-6544
Mailing Address - Country:US
Mailing Address - Phone:757-497-3670
Mailing Address - Fax:757-499-1947
Practice Address - Street 1:256 N WITCHDUCK RD
Practice Address - Street 2:STE G
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-6544
Practice Address - Country:US
Practice Address - Phone:757-497-3670
Practice Address - Fax:757-499-1947
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-06
Last Update Date:2012-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024167426363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
087526OtherSENTARA OPTIMA
323576OtherBCBS
323576OtherANTHEM PPO
324025OtherMANAGED HEALTH NETWORK
VA008911355Medicaid
090979OtherMAGELLAN
252122OtherMAMSI
323576OtherANTHEM HEALTHKEEPERS
800006515OtherMCARE RAILROAD
252122OtherMAMSI
S45136Medicare UPIN