Individual provider Active NPI

Deanna S Wines, LMSW

  • Clinical Social Worker
  • Battle Creek, MI
National Provider Identifier
1043567688
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801093119 Issued in MI
Practice address
200 Michigan Ave W
Suite 103
Battle Creek, MI 49017-3607
Phone
(260) 441-9300
Fax
(269) 441-3487
NPI assigned
Aug 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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 6801093119 MI Primary

Addresses

Primary practice location

200 Michigan Ave W
Suite 103
Battle Creek, MI 49017-3607

Mailing address

200 Michigan Ave W
Suite 103
Battle Creek, MI 49017-3607
Phone (260) 441-9300

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

State licenses

LicenseStateTypeSpecialty
6801093119MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1043567688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MICHIGAN AVE W",
            "address_2": "SUITE 103",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173607",
            "telephone_number": "260-441-9300",
            "fax_number": "269-441-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MICHIGAN AVE W",
            "address_2": "SUITE 103",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173607",
            "telephone_number": "260-441-9300",
            "fax_number": "269-441-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINES",
        "first_name": "DEANNA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.