DEBORAH A LAKE (NPI# 1760562789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760562789 |
| Entity Type | Individual |
| Full Name | DEBORAH A LAKE |
| Other Name | DEBORAH A JENNINGS |
| Credential | LCSW |
| Practice Address |
248 E Capitol St 840 Trust Mark Bldg Jackson MS 39201-2503 |
| Mailing Address |
Po Box 10414 Largo FL 33773-0414 |
| Practice Telephone | 8006326074 |
| Practice Fax Number | 8663417509 |
| Mailing Telephone | 8006326074 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C0798 | MS | Behavioral Health & Social Service Providers |
| Street Address |
248 E CAPITOL ST 840 TRUST MARK BLDG |
| City | JACKSON |
| State | MS |
| Zip Code | 39201-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437151636 | Romona Broussard Mayeux | Nurse Practitioner | 248 E Capitol St, Room 105, Jackson, MS 39201-2503 | 2005-06-01 |
| 1922325653 | Angela T Haydel | Social Worker | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2010-04-20 |
| 1215252044 | B Denise Brown-rouse | Social Worker | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2010-04-05 |
| 1538307145 | Tanya M Edwards | Social Worker | 248 E Capitol St, Jackson, MS 39201-2503 | 2009-02-04 |
| 1194976779 | Thomas N Elliott | Psychologist | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2008-10-01 |
| 1497928683 | Qmh LLC | Counselor | 248 E Capitol St, Jackson, MS 39201-2503 | 2008-04-08 |
| 1841497666 | Mary A Cathey | Social Worker | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2007-06-27 |
| 1245440288 | Vanessa D Cox | Social Worker | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2007-05-22 |
| 1407074115 | Henry E Goodman | Social Worker | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2007-04-20 |
| 1992822159 | Leah Headings | Social Worker | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2007-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962836874 | Tanericha Lashay Anderson | In Home Supportive Care | 3200 Jackson St, Jackson, MS 39201 | 2013-08-27 |
| 1871617423 | Karen White Jones | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2007-03-19 |
| 1912520768 | James Charles Haycraft | Marriage & Family Therapist | 431 N State St, Jackson, MS 39201-1108 | 2020-05-27 |
| 1548758832 | Lisa Allegrezza Sorey | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2018-04-23 |
| 1609287531 | William Mcneese Jr. | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2014-05-13 |
| 1902217805 | Laurel Boyd | Counselor | 431 N State St, Summit Counseling, Jackson, MS 39201-1108 | 2014-05-13 |
| 1134424450 | Ronald Gene Mumbower | Psychologist | 431 N State St, Jackson, MS 39201-1108 | 2011-01-18 |
| 1427350453 | Donald E. Waller | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2010-11-23 |
| 1285935932 | Summit Counseling | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2010-11-11 |
| 1184938060 | Lee Smith | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2010-08-03 |
| Find all providers in zip 39201 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
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| 1013518430 | Millie Mitchell | Social Worker | 321 Woodland Dr, Jackson, AL 36545-2438 | 2020-11-03 |
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1760098487 | Dominique Yvette Thomatis-williams | Social Worker | 4 Creekwood Pl, Jackson, MS 39211-2929 | 2020-09-17 |
| 1417567215 | Angela Edward | Social Worker | 413 Seymour Ave, Jackson, MI 49202-3562 | 2020-08-06 |
| 1952926677 | Kayleen Marie Shaw | Social Worker | 4152 County Road 436, Jackson, MO 63755-8411 | 2020-06-09 |
| 1538798327 | Willie Patrice Jenkins | Social Worker | 108 Parks Rd, Jackson, MS 39212-9626 | 2020-04-03 |
| 1184251555 | Yasmeen Patricia Eichelberger | Social Worker | 510 George St, Ste 201, Jackson, MS 39202-3027 | 2020-03-25 |
| 1902431612 | Harriet Phyllis Kazansky | Social Worker | 4 Hazeltine Ln, Jackson, NJ 08527-4045 | 2020-03-03 |
| 1750915229 | Kacey Pepin | Social Worker | 3027 Wildwood Ave, Jackson, MI 49202-3938 | 2020-02-24 |
| 1831729433 | Rachel Kornilakis | Social Worker | 729 W Michigan Ave # 200, Jackson, MI 49201-1920 | 2020-01-22 |
| Find all providers in JACKSON | ||||
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| 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.