Active NPI
Megan Cyrilla Deschene, LICSW
- Clinical Social Worker
- Saint Paul, MN
National Provider Identifier
1013267079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 17708
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Behavioral Health Hospital-Fergus Falls | Current | Accepting new patients | |
| Southern Cities Clinic | Current | Accepting new patients | |
| Anoka Metro Regional Treatment Center | Current | Accepting new patients | |
| Lutheran Social Service of Minnesota | Past | Accepting new patients | |
| Southern Cities Community Clinic | Past | 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.
-
- Psychiatric Hospital
- Anoka, MN
- NPI 1275585564
-
- Psychiatric Hospital
- Fergus Falls, MN
- NPI 1962583039
-
- General Practice Physician
- Faribault, MN
- NPI 1437218740
-
- Case Management Agency
- Fergus Falls, MN
- NPI 1396938742
-
- Community/Behavioral Health Agency
- Saint Cloud, MN
- NPI 1629192430
-
- Dentist
- Faribault, MN
- NPI 1730630393
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.