Jessica Anne Deeb, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 8591 Issued in FL

Practice address

9400 River Crossing Blvd
Suite 101
New Port Richey, FL 34655-6033

Phone

(727) 808-4818

Fax

(727) 375-8631

NPI assigned

Mar 10, 2010

Last updated

Oct 3, 2012By the provider in NPPES

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 FL

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jessica Anne Deeb, LCSW, LLC

  • Clinical Social Worker
  • New Port Richey, FL
  • NPI 1104178607
  Medicare reassignment NPD Authorized official
• Achieve Wellness Group LLC

  • Clinical Psychologist
  • Tampa, FL
  • NPI 1669619342
  Medicare reassignment NPD
• Jessica Anne Deeb, LCSW, LLC

  • Clinical Social Worker
  • Tampa, FL
  • NPI 1619228228
  NPD Authorized official

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1114240777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 RIVER CROSSING BLVD",
            "address_2": "SUITE 101",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346556033",
            "telephone_number": "727-808-4818",
            "fax_number": "727-375-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 RIVER CROSSING BLVD",
            "address_2": "SUITE 101",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346556033",
            "telephone_number": "727-808-4818",
            "fax_number": "727-375-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEB",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 8591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Adam Decubellis, D.C.
• Ryan Dedels, DMD
• Dedicated Angel, Inc.
• Dedicated Angel, Inc.
• Savannah Dedmon, RN
• Richard Deeb, AP
• Carly Marie Deegan, MS, CCC/SLP
• Montanna Deem
• Sara Marie Deese, MCAP,LMHC, LPC, LPCC
• James W Degrace, D.C.

• Clinical Social Worker in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.