Provider Demographics
NPI:1902080948
Name:LUDOWE, DEBRA (LMSW, LCSW)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:LUDOWE
Suffix:
Gender:F
Credentials:LMSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5901 EAST 7TH ST.
Mailing Address - Street 2:VA LONG BEACH HEALTH CARE SYSTEM
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90822
Mailing Address - Country:US
Mailing Address - Phone:562-826-8000
Mailing Address - Fax:562-826-5580
Practice Address - Street 1:5901 EAST 7TH ST.
Practice Address - Street 2:VA LONG BEACH HEALTH CARE SYSTEM
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90822
Practice Address - Country:US
Practice Address - Phone:562-826-8000
Practice Address - Fax:562-826-5580
Is Sole Proprietor?:No
Enumeration Date:2007-12-27
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 279561041C0700X
MI68010855821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical