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

Debra Diane, LCSW

Individual provider Mental Health Counselor · NPI 1861757239

Debra Diane, LCSW is a Clinical Social Worker in Fort Lauderdale, Florida. Qualified in 2003, 23 years ago. Practices with Blue Moon Senior Counseling, a 25-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
23
Licensed in
FL
In the registry since
2012
Specialties on file
2
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

2900 W Prospect Rd
Fort Lauderdale, FL 33309-2519
Phone: (954) 731-5100
Fax: (954) 497-3857
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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 SW10293 (FL)
Mental Health Counselor Taxonomy 101YM0800X · Licence SW10293 (FL)

Record details

NPI number1861757239
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 11, 2012
Last updated in NPPESNovember 5, 2020
Certification dateNovember 5, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Blue Moon Senior Counseling — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fort Lauderdale