Individual provider Active NPI

Deena Laughlin, LCSW

  • Social Worker
  • Du Bois, PA
National Provider Identifier
1063815405
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CW020500 Issued in PA
Practice address
3 S Brady St Ste 205
Du Bois, PA 15801-2159
Phone
(814) 371-1088
NPI assigned
Sep 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 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 CW020500 PA Primary

Addresses

Primary practice location

3 S Brady St Ste 205
Du Bois, PA 15801-2159

Mailing address

3 S Brady St
Ste 205
Du Bois, PA 15801-2159
Phone (814) 371-1088

Other names 1

  • Deena Weitoish Former name

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
I20191011001455 PA Practitioner - Clinical Social Worker 3476884024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brookville Behavioral Health IncGroup PAC ID 8527093061, 3 clinicians

Practice addresses (Care Compare)

8912 Clearfield Curwensville Hwy
Clearfield, PA 16830-3520
Phone (814) 205-4164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cen Clear Child Services Past Accepting new patients
Cen Clear Child Services, Inc. PastSince Aug 27, 2015 Accepting new patients
Core Psychiatric & Psychological Services Past Accepting new patients

Organizations & group practices 4

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": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1063815405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 S BRADY ST",
            "address_2": "STE 205",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012159",
            "telephone_number": "814-371-1088",
            "fax_number": "814-371-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 S BRADY ST STE 205",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012159",
            "telephone_number": "814-371-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUGHLIN",
        "first_name": "DEENA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "CW020500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEENA",
            "last_name": "WEITOISH",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.