Provider Demographics
NPI:1356473813
Name:OAKES, DEBORAH THOMPSON (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:THOMPSON
Last Name:OAKES
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MISS
Other - First Name:DEBORAH
Other - Middle Name:LAVERNE
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:122 N SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27101-2734
Mailing Address - Country:US
Mailing Address - Phone:336-774-3988
Mailing Address - Fax:336-774-3989
Practice Address - Street 1:122 N SPRUCE ST
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-2734
Practice Address - Country:US
Practice Address - Phone:336-774-3988
Practice Address - Fax:336-774-3989
Is Sole Proprietor?:No
Enumeration Date:2007-03-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0013171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical