DOMINIQUE NICOLE DEBETAZ LCSW
NPI 1043749138
Social Worker - Clinical in Baton Rouge, LA
About Dominique Nicole Debetaz Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOMINIQUE NICOLE DEBETAZ LCSW (NPI 1043749138) is an individual clinical provider in Baton Rouge, Louisiana, licensed in Louisiana (14411) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dominique Nicole Debetaz Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Dominique Debetaz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baton Rouge, LA 70806
- Reassigned Medicare billing, Louisiana enrollment
- 103 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70810 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BATON ROUGE, LA 70810
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dominique Debetaz's NPI number?
The NPI number for Dominique Debetaz is 1043749138. It was assigned to this individual provider in the NPPES registry on June 12, 2017. The provider is also known as Dominique Debetaz Mitchell Lcsw.
Where is Dominique Debetaz located?
Dominique Debetaz practices at 10431 Siegen Ln Ste 103, Baton Rouge, LA 70810. The listed phone number is (225) 777-6824.
What is Dominique Debetaz's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Dominique Debetaz enrolled in Medicare?
Yes. Dominique Debetaz is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Dominique Debetaz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Debetaz reassigns Medicare benefits to Primary Care Providers For A Healthy Feliciana, Inc (Baton Rouge, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dominique Debetaz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Dominique Debetaz was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dominique Nicole Debetaz, LCSW · NPI 1043749138
Clinical provider in Baton Rouge, Louisiana. Individual provider, active in the CMS NPPES registry since June 12, 2017.
## Identity
- **NPI:** 1043749138 (Entity type: Individual)
- **Enumerated:** June 12, 2017
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 14411 (Louisiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10431 SIEGEN LN STE 103, Baton Rouge, LA 70810-4984
- **Phone:** (225) 777-6824
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Primary Care Providers For A Healthy Feliciana, Inc (NPI 1134884323, Baton Rouge, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** February 1, 2024
- **Other identifiers:** Medicaid 1255681128 (LA)
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Source: [NPI Profile](https://npiprofile.com/npi/1043749138) · Data from the CMS NPPES public registry.