Provider Demographics
NPI:1699054890
Name:BABBITT, DEBORAH LOU (LCSW)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LOU
Last Name:BABBITT
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 1:4805 NE ANTIOCH RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64119-3401
Mailing Address - Country:US
Mailing Address - Phone:816-452-4536
Mailing Address - Fax:
Practice Address - Street 1:217 NW TERRITORIAL RD
Practice Address - Street 2:
Practice Address - City:CANBY
Practice Address - State:OR
Practice Address - Zip Code:97013-9200
Practice Address - Country:US
Practice Address - Phone:816-807-1313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-05
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20200215681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical