MEDICARE: DEBRA J HACKETT LISW, LICDC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	923349	OH
2	1041C0700X	Clinical Social Worker	I7205	OH

General Provider Information

NPI Number	:	1306189097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA J HACKETT LISW, LICDC

Provider Business Mailing Address
First Line	:	3805 EDWARDS RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45209-1900
Country	:	US
Telephone Number	:	513-403-0648
Fax Number	:

Provider Business Practice Location Address
First Line	:	4659 KUGLER MILL RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-1913
Country	:	US
Telephone Number	:	513-403-0648
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2013
Last Update Date	:	04/01/2013

Similar Medicare Providers

1730752171 — PREMISE HEALTH OF OHIO MEDICAL PA
Practice Location Address:

5195 N BEND RD
CINCINNATI, OH
45211-1913

Practice Phone: 513-547-7470
Practice Fax:

1851626873 — KATHRYN MARIAH ZUMBERG SMITH PH.D.
Practice Location Address:

5758 GLENGATE LN
CINCINNATI, OH
45212-1913

Practice Phone: 513-549-1284
Practice Fax:

1689122350 — MR. STANFORD WILLIAMS III
Practice Location Address:

933 REDWAY AVE
CINCINNATI, OH
45229-1913

Practice Phone: 513-910-2981
Practice Fax:

1659896009 — LAURA MASSA SLP-CCC
Practice Location Address:

7142 TRESSEL WOOD DR
CINCINNATI, OH
45248-1913

Practice Phone: 513-364-4398
Practice Fax:

1134888605 — LESLIE ARCHIBALD NP-C
Practice Location Address:

5195 N BEND RD
CINCINNATI, OH
45211-1913

Practice Phone: 513-653-6770
Practice Fax: 513-832-8169

1710666383 — ALEXIS WATKINS
Practice Location Address:

1913 TRUITT AVE APT 3
CINCINNATI, OH
45212-1042

Practice Phone: 513-586-9093
Practice Fax:

Directions to “ DEBRA J HACKETT LISW, LICDC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.