Deanna Schultz-Depies, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7137123 Issued in WI

Practice address

121 W Main St
#350
Port Washington, WI 53074

Phone

(262) 284-8140

Fax

(262) 284-8104

NPI assigned

Aug 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

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 and National Provider Directory roles.

• Columbia St. Mary'S Hospital Milwaukee, Inc

  • Multi-Specialty Clinic/Center
  • Milwaukee, WI
  • NPI 1023064482
  Medicare reassignment NPD
• Columbia St. Mary'S Hospital Milwaukee Inc

  • Psychiatric Hospital Unit
  • Mequon, WI
  • NPI 1417600909
  NPD
• County of Ozaukee

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Port Washington, WI
  • NPI 1609867001
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164439816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 994",
            "address_2": "#350",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530740994",
            "telephone_number": "262-284-8200",
            "fax_number": "262-284-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W MAIN ST",
            "address_2": "#350",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "53074",
            "telephone_number": "262-284-8140",
            "fax_number": "262-284-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ-DEPIES",
        "first_name": "DEANNA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7137123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43590400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard A Schloegel, BSW
• Alicia Lynn Schmid, PTA
• Ashley Ann Schmitz, LPC, CSAC
• Cindy Schottlaender, BA-AT
• Denise Schueller, MA, LAT
• Austin Schultz, LPC
• Lori Marie Schultz, CERTIFIED NURSING AS
• Brittany Schwarten, LCSW
• Second Opinion PHD LLC
• Victoria Irene Miller Sepulveda, PH.D., LPC, CSAC, NC

• Clinical Social Worker in Port Washington, WI
• Providers in Port Washington, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.