Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Debra Lynn Wine, MSW

Individual provider Clinical Social Worker · NPI 1508487489

Mrs. Debra Lynn Wine, MSW is a Clinical Social Worker in Port Huron, Michigan. Graduated from Michigan State University College of Human Medicine in 1980, 46 years ago. Practices with Jjl Consultants LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
46
Trained at
Michigan State University College of Human Medicine
Licensed in
MI
In the registry since
2020
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

309 Huron Ave
Port Huron, MI 48060-3869
Phone: (810) 689-9899
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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 6801019767 (MI)

Record details

NPI number1508487489
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorYes
NPI enumeratedMay 1, 2020
Last updated in NPPESMay 1, 2020
Certification dateMay 1, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 1980 (46 years in practice)
Group practice Jjl Consultants Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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