Provider Demographics
NPI:1942383468
Name:KACHENA, DEBORAH JEAN (CSWPLP LCSW)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:JEAN
Last Name:KACHENA
Suffix:
Gender:F
Credentials:CSWPLP LCSW
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:JEAN
Other - Last Name:LOWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSWPLP LCSW
Mailing Address - Street 1:705 E 41ST STREET
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SOUIX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-6047
Mailing Address - Country:US
Mailing Address - Phone:605-357-0165
Mailing Address - Fax:605-357-0190
Practice Address - Street 1:610 W 23RD STREET
Practice Address - Street 2:
Practice Address - City:YANKTON
Practice Address - State:SD
Practice Address - Zip Code:57078
Practice Address - Country:US
Practice Address - Phone:605-357-0165
Practice Address - Fax:605-357-0190
Is Sole Proprietor?:No
Enumeration Date:2006-10-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCSWPLP2149104100000X
SDLCSW1934104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD41779Medicare ID - Type Unspecified