Active NPI
Annette Deigh, MSW, LCSW
- Clinical Social Worker
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW016868
- Practice address
- 6120B Woodland Avenue
Philadelphia, PA 19142 - Phone
- (267) 350-5940
- Fax
- (267) 597-3622
- NPI assigned
- Jun 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW016868 | PA | Primary |
Addresses
Primary practice location
6120B Woodland Avenue
Philadelphia, PA 19142
Mailing address
4700 Wissahickon Avenue
BLDG D, Suite 118
Philadelphia, PA 19144-4248
Phone (610) 597-3600
Other names 1
- Annette Owens-Johnson
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW016868 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resources for Human Development, Inc. | Current | Accepting new patients | |
| Family Practice & Counseling Services Network, Inc. | Current | Accepting new patients | |
| Resources for Human Development, Inc. | Current | Accepting new patients | |
| Resources for Human Development, Inc. | Past | Accepting new patients | |
| Family Practice & Counseling Services Network, Inc. | Past | Accepting new patients | |
| Family Practice & Counseling Services Network, Inc. | Past | Accepting new patients |
Locations
6120 Woodland Ave
Fl The
Philadelphia, PA 19142
Phone (215) 727-4721
4700 Wissahickon Ave
Ste 118
Philadelphia, PA 19144
Phone 26759736006771
2300 W Master St
Philadelphia, PA 19121
Phone (267) 687-1172
4700 Wissahickon Ave
Bldg D
Philadelphia, PA 19144
Phone (215) 843-9720
Organizations & group practices 6
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.
-
- Community/Behavioral Health Agency
- Bryn Mawr, PA
- NPI 1548395585
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1689357782
-
- Community/Behavioral Health Agency
- Philadelphia, PA
- NPI 1649564402
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1043204811
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1285628826
-
- Federally Qualified Health Center (FQHC)
- York, PA
- NPI 1306127634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454025600000",
"number": "1104110311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 WISSAHICKON AVENUE",
"address_2": "BLDG D, SUITE 118",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191444248",
"telephone_number": "610-597-3600",
"fax_number": "267-597-3622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6120B WOODLAND AVENUE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19142",
"telephone_number": "267-350-5940",
"fax_number": "267-597-3622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEIGH",
"first_name": "ANNETTE",
"name_prefix": "Mrs.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-06",
"last_updated": "2016-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW016868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNETTE",
"last_name": "OWENS-JOHNSON",
"code": "1",
"type": "Former Name"
}
]
}
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 Jan 29, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.