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DOMINIQUE NICOLE DEBETAZ LCSW
NPI 1043749138
Social Worker - Clinical in Baton Rouge, LA

Active since June 12, 2017PECOS Enrolled
10431 SIEGEN LN STE 103, BATON ROUGE, LA 70810(225) 777-6824 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 9, 2022, Nov 4, 2022, May 17, 2022 and 1 more (4 updates tracked since 2017).

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

NPI1043749138
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDOMINIQUE NICOLE DEBETAZCredential: LCSW
Location Address10431 SIEGEN LN STE 103Baton Rouge, LA 70810-4984
Mailing Address24848 Heritage DrDenham Springs, LA 70726-6701
Phone(225) 777-6824
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 12, 2017
Last NPPES UpdateFebruary 1, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2024
✔ NPI 1043749138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in LA · 14411
Definition
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
10431 SIEGEN LN STE 103, Baton Rouge, LA 70810
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Other Names 1

Former Name (1)Dominique Debetaz Mitchell Lcsw

Other Identifiers 1

Medicaid1255681128LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominique Nicole Debetaz Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739686320
PECOS Enrollment IDI20251009000978
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$0.00 typical visit price
range $53.43 – $164.73
Typical copayment $0.00 (range $13.35 – $41.18)
Most-billed visit code NA
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CREDEUR COUNSELING LLC
Social Worker (Clinical)
10431 SIEGEN LN STE 103
BATON ROUGE, LA 70810
East Baton Rouge Parish (225) 308-1052
MARGARET CATHERINE CREDEUR LCSW
Social Worker (Clinical)
10431 SIEGEN LN STE 103
BATON ROUGE, LA 70810
East Baton Rouge Parish (225) 308-1052
MORGAN SHIRLEY LCSW
Social Worker (Clinical)
10431 SIEGEN LN STE 103
BATON ROUGE, LA 70810
East Baton Rouge Parish (225) 341-5847
PAIGE S JENKINS MSW, LCSW
Counselor (Mental Health)
10431 SIEGEN LN STE 103
BATON ROUGE, LA 70810
East Baton Rouge Parish (225) 938-9061

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.

What insurance does Dominique Debetaz accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Dominique Debetaz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.