MARY BETH DEBRODIE


Address: 2625 Fairway Dr, Suite E, Fulton, MO 65251-3936
Phone: 5736420087

MARY BETH DEBRODIE (NPI# 1497731939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497731939
Entity Type Individual
Full Name MARY BETH DEBRODIE
Other Name MARY BETH COMMISSO
Credential LCSW, PHD
Practice Address 2625 Fairway Dr
Suite E
Fulton
MO 65251-3936
Mailing Address Po Box 605
Fulton
MO 65251-0605
Practice Telephone 5736420087
Practice Fax Number 5735928929
Enumeration Date 2005-12-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 2003018483 MO Behavioral Health & Social Service Providers

Office Location

Street Address 2625 FAIRWAY DR
SUITE E
City FULTON
State MO
Zip Code 65251-3936

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871905026 Rebecca Seitz Lcsw, LLC Social Worker 2625 Fairway Dr, Fulton, MO 65251-4023 2014-05-22
1245665801 Brian Gerard Mcandrew Jr. Social Worker 2625 Fairway Dr, Fulton, MO 65251-4023 2013-09-13
1922446343 Rebecca Marie Seitz Social Worker 2625 Fairway Dr, Suite A2, Fulton, MO 65251-4023 2013-06-07
1548530355 Alyssa Toalson Physical Therapist 2625 Fairway Dr, Suite C, Fulton, MO 65251-4023 2012-01-10
1700161718 Anne Marie Rulo Counselor 2625 Fairway Dr, Fulton, MO 65251-4023 2011-10-21
1598040503 Callaway Counseling LLC Marriage & Family Therapist 2625 Fairway Dr, Fulton, MO 65251-4023 2011-10-21
1316247265 Jennifer Patrick, Lcsw, Limited Social Worker 2625 Fairway Dr, Ste. A, Fulton, MO 65251-4023 2010-10-26
1669653408 Donna G Merritt Counselor 2625 Fairway Dr, Suite E, Fulton, MO 65251-3936 2007-11-20
1801015342 Psycare of Callaway County, LLC Social Worker 2625 Fairway Dr, Suite E, Fulton, MO 65251-3936 2007-04-24
1740319649 Cynthia L. Chalfant Counselor 2625 Fairway Dr, Suite A, Fulton, MO 65251-3936 2007-03-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174008023 East Central Missouri Behavioral Health Services, Inc. Psychiatry & Neurology 581 Commons Drive, Fulton, MO 65251 2018-09-26
1659888428 Annette Marie Holt Nurse Practitioner 350 Country Meadows Lane, Fulton, MO 65251 2018-01-03
1922458454 Benjamin Newell Crary Family Medicine 110 N Hosital Dr, Fulton, MO 65251 2016-06-15
1750763348 Ssm Audrain Health Care, Inc Clinic/Center 350 Country Meadow Ln, Fulton, MO 65251 2015-06-19
1366829426 Bigeye Emergency Physicians LLC Emergency Medicine 10 South Hospital Deive, Fulton, MO 65251 2015-04-28
1881019750 Mid-missouri Hearing and Balance, Inc. Audiologist-Hearing Aid Fitter 850 W. Hospital Drive, Ste. G, Fulton, MO 65251 2014-02-28
1861828105 Justin Ryan Campbell Occupational Therapist 508 Saint Eunice Road, Fulton, MO 65251 2013-09-18
1417257536 June A Dillon Counselor 2625 Fairway Dr., Suite E, Fulton, MO 65251 2010-10-22
1033354196 Michael K Mcelhinney Specialist/Technologist One University Avenue, William Woods University - Athletics, Fulton, MO 65251 2008-12-03
1326299967 Karanbir Sandhu Dentist 1393 Highway O, Fulton, MO 65251 2008-10-01
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417565979 Eileen Welch Social Worker 1164 County Line Rd, Fulton, NY 13069-4369 2020-07-21
1619472008 Cara Marie Harris Social Worker 388 State Route 48, Fulton, NY 13069-4347 2018-03-27
1053706770 Jenelle Coit Social Worker 113 Schuyler St Ste 2, Fulton, NY 13069-1600 2015-03-31
1235577578 Katherine Diane Payne Cook Social Worker 307 E 6th St, Fulton, MO 65251-2045 2013-06-09
1851672935 Melissa Lynn Terzulli Social Worker 98 N 2nd St Ste 100, Fulton, NY 13069-1254 2011-09-02
1164560132 Darlene N Salmons Social Worker 2625 Fairway Dr Ste A, Fulton, MO 65251-3936 2007-02-02
1326682295 Chanel Bryant Social Worker 98 N 2nd St Ste 100, Fulton, NY 13069-1254 2019-11-04
1730646829 Morgan Kiellach Social Worker 163 S 1st St, Fulton, NY 13069-1721 2019-02-25
1316412091 Elizabeth Anne Widrick Social Worker 163 S 1st St, Fulton, NY 13069-1721 2018-10-09
1790271153 Melanie Lynn Licatese Social Worker 98 N 2nd St Ste 100, Fulton, NY 13069-1254 2018-07-09
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City FULTON
Zip Code 65251

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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