Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deborah A Lake, LCSW

Individual provider Clinical Social Worker · NPI 1760562789

Deborah A Lake, LCSW is a Clinical Social Worker in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

248 E Capitol St 840 Trust Mark Bldg
Jackson, MS 39201-2503
Phone: (800) 632-6074
Fax: (866) 341-7509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C0798 (MS)

Record details

NPI number1760562789
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 16, 2006
Last updated in NPPESJuly 8, 2007

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