Provider Demographics
NPI:1740545938
Name:DEBEY, CYNTHIA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:
Last Name:DEBEY
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 1:13110 SE 43RD SERVICE RD
Mailing Address - Street 2:
Mailing Address - City:FAUCETT
Mailing Address - State:MO
Mailing Address - Zip Code:64448-9115
Mailing Address - Country:US
Mailing Address - Phone:816-248-5745
Mailing Address - Fax:
Practice Address - Street 1:13110 SE 43RD SERVICE RD
Practice Address - Street 2:
Practice Address - City:FAUCETT
Practice Address - State:MO
Practice Address - Zip Code:64448-9115
Practice Address - Country:US
Practice Address - Phone:816-248-5745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-12
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20110378331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1740545938Medicaid