DEBORAH A LAKE LCSW
NPI 1760562789
Social Worker - Clinical in Jackson, MS

Q: What is Deborah Lake's NPI number?

The NPI number for Deborah Lake is 1760562789. It was assigned to this individual provider in the NPPES registry on October 16, 2006. The provider is also known as Deborah A Jennings.

Q: What is Deborah Lake's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Deborah Lake was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 16, 2006

248 E CAPITOL ST, 840 TRUST MARK BLDG, JACKSON, MS 39201(800) 632-6074(866) 341-7509 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Deborah A Lake Lcsw NPPES

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

DEBORAH A LAKE LCSW (NPI 1760562789) is an individual clinical provider in Jackson, Mississippi, licensed in Mississippi (C0798) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1760562789

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameDEBORAH A LAKECredential: LCSW

Location Address248 E CAPITOL ST, 840 TRUST MARK BLDGJackson, MS 39201-2503

Mailing AddressPo Box 10414Largo, FL 33773-0414 · (800) 632-6074

Phone(800) 632-6074

Fax(866) 341-7509

Sole ProprietorNo

Enumeration DateOctober 16, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1760562789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MS · C0798

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.

248 E CAPITOL ST, Jackson, MS 39201

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Other Names 1

Former Name (1)Deborah A Jennings

Other Providers at the Same Location NPPES 20

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

ELLEN RENEE COTTEN LCSW

Social Worker (Clinical)