Provider Demographics
NPI:1508158825
Name:WHITE EYE, DEBORAH DENMAN (LCSW, LSCSW)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:DENMAN
Last Name:WHITE EYE
Suffix:
Gender:F
Credentials:LCSW, LSCSW
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:DENMAN
Other - Last Name:WHITE EYE KREITZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1724 N EMERY ST
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64050-1981
Mailing Address - Country:US
Mailing Address - Phone:816-289-9065
Mailing Address - Fax:
Practice Address - Street 1:300 SE 2ND ST
Practice Address - Street 2:SUITE 100
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-2759
Practice Address - Country:US
Practice Address - Phone:816-404-6170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20080334391041C0700X
KS38001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical