MEDICARE: DEBRA GAYMAN MSW, LCSW

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	1041C0700X	Clinical Social Worker	34008599A	IN

General Provider Information

NPI Number	:	1528613858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA GAYMAN MSW, LCSW

Provider Business Mailing Address
First Line	:	2520 CALIFORNIA ST STE A
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47201-3677
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2520 CALIFORNIA ST STE A
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47201-3677
Country	:	US
Telephone Number	:	812-379-8652
Fax Number	:

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

Provider Enumeration Date	:	08/05/2019
Last Update Date	:	09/13/2019

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