Deanna Bibby, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904008313 Issued in VA

Practice address

2502 Broadway Ave SW Uppr Level
Roanoke, VA 24014-1663

Phone

(540) 860-4945

NPI assigned

Jun 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mosaic Mental WellnessGroup PAC ID 2062833403, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mosaic Mental Wellness

  • Mental Health Counselor
  • Roanoke, VA
  • NPI 1114588241
  Medicare reassignment Care Compare group
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1083274336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6219 CRUMPACKER DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240128827",
            "telephone_number": "540-761-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 BROADWAY AVE SW UPPR LEVEL",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141663",
            "telephone_number": "540-860-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBBY",
        "first_name": "DEANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bharatbhai G Patel
• Rajapillai K Bharathan, MD PC
• Kuber Bhardwaj
• Nayan Bhatia, M.D.
• Abhishek Shashikant Bhutada, MD
• Robert M. Bielawski, DDS
• Magdalena Bielski, PHARMD
• Angela Renee Billingsley
• Alexandra Marie Billiris, CF-SLP
• Matthew Brent Billups, D.O.

• Clinical Social Worker in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.