Individual provider Active NPI

Deanna Krankel, LCSW

  • Clinical Social Worker
  • Bridgeton, MO
National Provider Identifier
1164878252
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005359 Issued in MO
Practice address
12303 Depaul Drive
St. Vincent'S Behavioral Heatlh Services
Bridgeton, MO 63044
Phone
(314) 344-6560
Fax
(314) 344-7736
NPI assigned
May 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 005359 MO Primary

Addresses

Primary practice location

12303 Depaul Drive
St. Vincent'S Behavioral Heatlh Services
Bridgeton, MO 63044

Mailing address

102 Gaylord Dr
Collinsville, IL 62234-4825
Phone (618) 979-3877

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

LicenseStateTypeSpecialty
005359MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
D Krankel Counseling Services LLC Clinical Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1164878252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 GAYLORD DR",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344825",
            "telephone_number": "618-979-3877",
            "fax_number": "314-344-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12303 DEPAUL DRIVE",
            "address_2": "ST. VINCENT'S BEHAVIORAL HEATLH SERVICES",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "63044",
            "telephone_number": "314-344-6560",
            "fax_number": "314-344-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRANKEL",
        "first_name": "DEANNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "005359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.