Individual provider Active NPI

Deanna Purnell, LSW, MSW, MED

  • Social Worker
  • Philadelphia, PA
National Provider Identifier
1093064867
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW132571 Issued in PA
Practice address
525 S 4TH St Suite 598
The Foremost Building
Philadelphia, PA 19147
Phone
(267) 585-2980
NPI assigned
Sep 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW132571 PA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X

Addresses

Primary practice location

525 S 4TH St Suite 598
The Foremost Building
Philadelphia, PA 19147

Mailing address

525 S 4TH St
St 598, the Foremost Building
Philadelphia, PA 19147

Other practice location 1

1511 Carpenter St
Philadelphia, PA 19146-2110
Phone (215) 923-2690

Other practice location 2

115 Pheasant Run Ste 215
Newtown, PA 18940-1886
Phone (215) 550-6109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
SW132571PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tracey Jones, M.D., P.C. PastSince Feb 11, 2012 Accepting new patients

Organizations & group practices 1

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": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1093064867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 S 4TH ST",
            "address_2": "ST 598, THE FOREMOST BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S 4TH ST SUITE 598",
            "address_2": "THE FOREMOST BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19147",
            "telephone_number": "267-585-2980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1511 Carpenter St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191462110",
            "country_code": "US",
            "telephone_number": "215-923-2690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Pheasant Run Ste 215",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "PA",
            "postal_code": "189401886",
            "country_code": "US",
            "telephone_number": "215-550-6109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURNELL",
        "first_name": "DEANNA",
        "credential": "LSW, MSW, MED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW132571",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.