Active NPI
Dejuan R Kaufman
- Case Manager/Care Coordinator
- Steubenville, OH
National Provider Identifier
1114534633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 141 Brady Cir W Ste B
Steubenville, OH 43952-1411 - Phone
- (740) 284-1977
- NPI assigned
- Sep 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2202442-TRNE | OH | |
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
141 Brady Cir W Ste B
Steubenville, OH 43952-1411
Mailing address
2000 Noble Dr
Wooster, OH 44691-5353
Phone (330) 264-3232
Other practice location 1
2000 Noble Dr
Wooster, OH 44691-5353
Phone (330) 264-3232
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2202442-TRNE | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1114534633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 NOBLE DR",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446915353",
"telephone_number": "330-264-3232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 BRADY CIR W STE B",
"city": "STEUBENVILLE",
"state": "OH",
"postal_code": "439521411",
"telephone_number": "740-284-1977"
}
],
"practiceLocations": [
{
"address_1": "2000 Noble Dr",
"address_purpose": "LOCATION",
"city": "Wooster",
"state": "OH",
"postal_code": "446915353",
"country_code": "US",
"telephone_number": "330-264-3232",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAUFMAN",
"first_name": "DEJUAN",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-29",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2202442-TRNE",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Steubenville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.