Provider Demographics
NPI:1508984741
Name:GASEK, DEBORAH JEAN (LCSW)
Entity Type:Individual
Prefix:PROF
First Name:DEBORAH
Middle Name:JEAN
Last Name:GASEK
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 1:3351 W SEXTON ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65810-1080
Mailing Address - Country:US
Mailing Address - Phone:417-799-0433
Mailing Address - Fax:
Practice Address - Street 1:1756 BEE CREEK RD
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-9395
Practice Address - Country:US
Practice Address - Phone:417-335-2004
Practice Address - Fax:417-335-2012
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20050255651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical