Provider Demographics
NPI:1811060437
Name:SEXTON, DEBORAH A (LCSW)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:A
Last Name:SEXTON
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:732 SMITHTOWN BYP STE 206
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-5020
Mailing Address - Country:US
Mailing Address - Phone:631-864-5113
Mailing Address - Fax:631-824-9137
Practice Address - Street 1:732 SMITHTOWN BYP STE 206
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-5020
Practice Address - Country:US
Practice Address - Phone:631-366-5113
Practice Address - Fax:631-265-3205
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR03908611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP588018OtherOXFORD
NY054869OtherVALUE OPTIONS
NY7403508OtherGHI
NY7403508OtherGHI