Provider Demographics
NPI:1932141876
Name:ARMSTRONG, DEBORAH R (LCSW)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:R
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 USHERS RD
Mailing Address - Street 2:NORTHWAY 10 EXECUTIVE PARK
Mailing Address - City:BALLSTON LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12019-1547
Mailing Address - Country:US
Mailing Address - Phone:518-877-5911
Mailing Address - Fax:518-877-7574
Practice Address - Street 1:315 USHERS RD
Practice Address - Street 2:NORTHWAY 10 EXECUTIVE PARK
Practice Address - City:BALLSTON LAKE
Practice Address - State:NY
Practice Address - Zip Code:12019-1547
Practice Address - Country:US
Practice Address - Phone:518-371-1192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR023977-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY110877765OtherUNITED BEHAVIORAL HEALTH
NY7332639OtherNYS EMPIRE PLAN
NY61635OtherMVP
NYN1P651OtherMAGELLAN
NY000494717004OtherBLUE CROSS
NY137077OtherCDPHP
NY7481983OtherGHI
NY000494717004OtherBLUE SHIEL OF NORTHEASTER
NY7186064OtherAETNA
NY7186064OtherAETNA