Individual provider Active NPI

Deanna Warren, LCSW

  • Social Worker
  • Pittston, PA
National Provider Identifier
1013697358
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CW024780 Issued in PA
Practice address
65 Bryden St
Pittston, PA 18640-3450
Phone
(570) 225-9299
NPI assigned
Jul 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CW024780 PA Primary

Addresses

Primary practice location

65 Bryden St
Pittston, PA 18640-3450

Mailing address

65 Bryden St
Pittston, PA 18640-3450
Phone (570) 225-9299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240705000635 PA Practitioner - Clinical Social Worker 3375087034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KGS CounselingGroup PAC ID 4082130448, 3 clinicians

Practice addresses (Care Compare)

409 Davis St
Suite 2
Clarks Summit, PA 18411-1868
Phone (570) 351-2751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
KGS Counseling CurrentSince Jul 15, 2025 Accepting new patients
Dignity Inc Social Worker CurrentSince Jun 24, 2024 Accepting new patients

Locations

320 S State St
Ste 6
Clarks Summit, PA 18411
Phone (570) 209-8821

409 Davis St
Ste 2
Clarks Summit, PA 18411
Phone (570) 351-2751

65 Bryden St
Pittston Township, PA 18640
Phone (570) 225-9299

Organizations & group practices 2

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": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1013697358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BRYDEN ST",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186403450",
            "telephone_number": "570-225-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BRYDEN ST",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186403450",
            "telephone_number": "570-225-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "DEANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "CW024780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittston, PA

Sources for this page

Verify at the official NPI Registry.