Debra Diane is a Fort Lauderdale, Florida based counselor with 22 years of experience in Mental Health Counselor. She completed her graduation from Other in 2003. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Debra Diane is SW10293 for Social Worker in Florida. Her current practice location is 2900 W Prospect Rd, Fort Lauderdale. Patients can book an appointment with her at 954-731-5100.
Debra Diane is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. She assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Debra Diane speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Debra Diane
Specialization:
Mental Health Counselor
Gender:
Female
Credentials:
LCSW
Experience:
22+ years
Medical School Attended:
Other
Graduation Year:
2003
Accepts Medicare Assignment:
Yes
Practice Address:
2900 W Prospect Rd, Fort Lauderdale, Florida, 33309-2519
Phone:
954-731-5100
Fax:
954-497-3857
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8820376379
Enrollment ID:
I20161103001071
NPI Number:
1861757239
NPI Enumeration Date:
11 Jul, 2012
NPI Last Update On:
05 Nov, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Debra Diane are as mentioned below.
License Number
Specialization
State
Status
SW10293
Social Worker
Florida
Primary
SW10293
Mental Health Counselor
Florida
Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Debra Diane is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Blue Moon Senior Counseling (6103099759)
11
Medicare Quality Reporting:
Medicare Quality Reporting consists of various programs like PQRS, EHR, MHI etc.
PQRS
She does not participate in the Physician Quality Reporting System Incentive Program.
EHR
She does not participate in the Electronic Health Record Incentive Program.
MHI
She does not participate in the Million Hearts Initiative Program.
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4740 N State Road 7 Ste 201, Lauderdale Lakes, Florida
Zip:
33319-5839
Phone Number:
954-777-1617
Fax Number:
954-497-3857
Patients can reach Debra Diane at 2900 W Prospect Rd, Fort Lauderdale, Florida or can call to book an appointment on 954-731-5100. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.