Individual provider Active NPI

Megan Cyrilla Deschene, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1013267079
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17708 Issued in MN
Practice address
PO Box 64979
Saint Paul, MN 55164-0979
Phone
(218) 205-4853
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 17708 MN Primary

Addresses

Primary practice location

PO Box 64979
Saint Paul, MN 55164-0979

Mailing address

PO Box 64979
Saint Paul, MN 55164-0979
Phone (218) 205-4853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Behavioral Health Hospital-Fergus Falls CurrentSince Nov 1, 2024 Accepting new patients
Southern Cities Clinic CurrentSince Nov 1, 2024 Accepting new patients
Anoka Metro Regional Treatment Center CurrentSince Nov 1, 2024 Accepting new patients
Lutheran Social Service of Minnesota PastSince May 2, 2024 Accepting new patients
Southern Cities Community Clinic PastSince Nov 1, 2024 Accepting new patients
Lutheran Social Service of Minnesota Past Accepting new patients

Locations

3301 7th Ave
Anoka, MN 55303
Phone (651) 431-5000

400 4th St NW
Faribault, MN 55021
Phone (507) 384-6830

3200 Labore Rd
Ste 104
Vadnais Heights, MN 55110
Phone (612) 387-9243

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1013267079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64979",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551640979",
            "telephone_number": "218-205-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 64979",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551640979",
            "telephone_number": "218-205-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESCHENE",
        "first_name": "MEGAN",
        "middle_name": "CYRILLA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "17708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.