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

Dominique Nicole Debetaz, LCSW

Individual provider Clinical Social Worker · NPI 1043749138

Dominique Nicole Debetaz, LCSW is a Clinical Social Worker in Baton Rouge, Louisiana. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in Louisiana.

Years since qualifying
9
Licensed in
LA
In the registry since
2017
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

10431 Siegen Ln Ste 103
Baton Rouge, LA 70810-4984
Phone: (225) 777-6824
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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 14411 (LA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1043749138
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 12, 2017
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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