DEBORAH ENNIS LICSW, LISW-CP
NPI 1366635088
Social Worker - Clinical in Easley, SC

Active since August 27, 2007PECOS EnrolledAccepts Medicare Assignment
1097 S PENDLETON ST STE D, EASLEY, SC 29642(864) 404-7644(864) 626-0763 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2024, Jun 14, 2024, Jan 26, 2023 (3 updates tracked since 2023).

About Deborah Ennis Licsw, Lisw-cp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBORAH ENNIS LICSW, LISW-CP (NPI 1366635088) is an individual clinical provider in Easley, South Carolina, licensed in Massachusetts (114600) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Leominster, and is a graduate of University Of South Carolina School Of Medicine (1990).

NPPES Registry Identity

NPI1366635088
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDEBORAH ENNISCredential: LICSW, LISW-CP
Location Address1097 S PENDLETON ST STE DEasley, SC 29642-1050
Mailing Address1097 S Pendleton St Ste DEasley, SC 29642-1050 · (864) 404-7644 · Fax (864) 626-0763
Fax(864) 626-0763
Sole ProprietorYes
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1990
Enumeration DateAugust 27, 2007
Last NPPES UpdateSeptember 29, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2025
NPI 1366635088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in MA · 114600 Licensed in SC · 13532
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.
1097 S PENDLETON ST STE D, Easley, SC 29642

Secondary Practice Location 1

Location 153 Merriam AveLeominster, MA 01453-3194 · Phone (864) 404-7644 · Fax (864) 626-0763

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Deborah Ennis Licsw, Lisw-cp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234270455
PECOS Enrollment IDI20100111000443, I20230309002503
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 29642 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 $53.57 – $163.84
Typical copayment $0.00 (range $13.39 – $40.96)
Most-billed visit code NA
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1097 S PENDLETON ST STE D
EASLEY, SC 29642
Counselor (Professional)
1097 S PENDLETON ST STE D
EASLEY, SC 29642
Nurse Practitioner (Family)
1097 S PENDLETON ST STE D
EASLEY, SC 29642
Nurse Practitioner (Family)
1097 S PENDLETON ST STE D
EASLEY, SC 29642
Social Worker (Clinical)
1097 S PENDLETON ST STE D
EASLEY, SC 29642

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 Deborah Ennis's NPI number?

The NPI number for Deborah Ennis is 1366635088. It was assigned to this individual provider in the NPPES registry on August 27, 2007.

Where is Deborah Ennis located?

Deborah Ennis practices at 1097 S Pendleton St Ste D, Easley, SC 29642. The listed phone number is (864) 404-7644.

What is Deborah Ennis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Deborah Ennis enrolled in Medicare?

Yes. Deborah Ennis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Deborah Ennis accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan and 1 other insurer list Deborah Ennis 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 Deborah Ennis was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.