Active NPI
Deanna Louise Phelps, LCSW-C
- Clinical Social Worker
- Baltimore, MD
National Provider Identifier
1134147366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 04931
- Practice address
- 4623 Falls Road
Baltimore, MD 21209 - Phone
- (410) 366-1980
- Fax
- (410) 366-8530
- NPI assigned
- Jul 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 04931 | MD | Primary |
Addresses
Primary practice location
4623 Falls Road
Baltimore, MD 21209
Mailing address
3523 Bay Dr
Middle River, MD 21220-4402
Phone (410) 335-2266
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 226396 | Other | MD | KAISER |
| 890943-01 | Other | MD | CAREFIRST BCBS |
| T541-0078 | Other | MD | CAREFIRST BCBS |
| PVPB1348746 | Other | MD | APS HEALTHCARE |
| 7186396 | Other | MH | AETNA BEHAVIORAL HEALTH |
| 179967 | Other | MD | COMPSYCH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04931 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1134147366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3523 BAY DR",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212204402",
"telephone_number": "410-335-2266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4623 FALLS ROAD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21209",
"telephone_number": "410-366-1980",
"fax_number": "410-366-8530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELPS",
"first_name": "DEANNA",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "04931",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "226396",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "890943-01",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "T541-0078",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APS HEALTHCARE",
"identifier": "PVPB1348746",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL HEALTH",
"identifier": "7186396",
"state": "MH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "179967",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.