Jody L Deboer, MSW, LCSW is a
Social Worker - Clinical based in Greenfield, Wisconsin. Jody L Deboer is licensed to practice in Wisconsin (license number 11474-123) and her current practice location is
4811 S 76th St Ste 305, Greenfield, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(414) 325-7741.
NPI number for Jody L Deboer is 1114349636 and her current mailing address is 4811 S 76th St Ste 305, Greenfield, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114349636.
Healthcare Provider's Profile
| Full Name | Jody L Deboer |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4811 S 76th St Ste 305, Greenfield, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114349636
- Provider Enumeration Date: 01/17/2014
- Last Update Date: 06/12/2025
Medical Identifiers
Medical identifiers for Jody L Deboer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1114349636 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 2019031458 (Missouri) | Secondary |
| 1041C0700X | Social Worker - Clinical | 11474-123 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jody L Deboer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jody L Deboer, MSW, LCSW 4811 S 76th St Ste 305, Greenfield, WI 53220-4364 Ph: (414) 325-7741 | Jody L Deboer, MSW, LCSW 4811 S 76th St Ste 305, Greenfield, WI 53220-4313 Ph: (414) 325-7741 |
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