Provider Demographics
NPI:1326589037
Name:ATKINS, DEBRA SOMERS (LCSW)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:SOMERS
Last Name:ATKINS
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 1:292 KIMBERLY LN
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06795-3159
Mailing Address - Country:US
Mailing Address - Phone:860-945-8720
Mailing Address - Fax:
Practice Address - Street 1:292 KIMBERLY LN
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:CT
Practice Address - Zip Code:06795-3159
Practice Address - Country:US
Practice Address - Phone:860-945-8720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-14
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0045641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical