Provider Demographics
NPI:1891768743
Name:LAUNT, DEBORAH E (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:DEBORAH
Middle Name:E
Last Name:LAUNT
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 1:26224 RED TAIL LN
Mailing Address - Street 2:
Mailing Address - City:EVANS MILLS
Mailing Address - State:NY
Mailing Address - Zip Code:13637-3436
Mailing Address - Country:US
Mailing Address - Phone:607-624-2009
Mailing Address - Fax:
Practice Address - Street 1:26224 RED TAIL LN
Practice Address - Street 2:
Practice Address - City:EVANS MILLS
Practice Address - State:NY
Practice Address - Zip Code:13637-3436
Practice Address - Country:US
Practice Address - Phone:607-624-2009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-10
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR059596-1101YM0800X
FLPSW789101YM0800X
NYR0595961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY546499OtherVALUE OPTIONS
NY02074220Medicaid
NY02074220Medicaid
FLDF169AMedicare UPIN
NY02074220Medicaid