Individual provider Active NPI

Deanna L Rowe, LCSW

  • Clinical Social Worker
  • Greensburg, KY
National Provider Identifier
1164883989
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7626 Issued in KY
Practice address
302 Brummal Ave
Greensburg, KY 42743-1004
Phone
(844) 435-0900
Fax
(270) 858-4029
NPI assigned
Mar 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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 7626 KY Primary

Addresses

Primary practice location

302 Brummal Ave
Greensburg, KY 42743-1004

Mailing address

PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655

Other practice location 1

119 Herriford Curve Road
Jamestown, KY 42629-2520
Phone (270) 343-2551

Other identifiers 2

IdentifierTypeStateIssuer
7100554290MedicaidKY
14197077OtherCAQH

Other names 1

  • Deanna L Jones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20190424000363 KY Practitioner - Clinical Social Worker 1658613617 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7626KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Family Medical Center Inc CurrentSince Mar 20, 2019 Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Mar 20, 2019 Accepting new patients
Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. Past Accepting new patients

Locations

360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472

302 Brummal Ave
Greensburg, KY 42743
Phone (270) 932-6610

100 Kidz Korner
Greensburg, KY 42743
Phone (270) 932-4388

401 E Hodgenville Ave
Greensburg, KY 42743
Phone (270) 932-2743

106 Brummal Ave
Greensburg, KY 42743
Phone (270) 932-6615

95 Champion Dr
Monticello, KY 42633
Phone (606) 348-6691

160 Cave St
Monticello, KY 42633

2 Kenny Davis Blvd
Monticello, KY 42633
Phone (606) 378-5575

1080 S Main St
Monticello, KY 42633

278 Kenny Davis Blvd
Monticello, KY 42633
Phone (606) 348-8150

341 Bogle St
Ste A
Somerset, KY 42503
Phone (606) 676-8186

Organizations & group practices 3

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": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1164883989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-858-6655",
            "fax_number": "270-858-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 BRUMMAL AVE",
            "city": "GREENSBURG",
            "state": "KY",
            "postal_code": "427431004",
            "telephone_number": "844-435-0900",
            "fax_number": "270-858-4029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Herriford Curve Road",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "KY",
            "postal_code": "426292520",
            "country_code": "US",
            "telephone_number": "270-343-2551",
            "fax_number": "270-343-2522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROWE",
        "first_name": "DEANNA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-08",
        "last_updated": "2024-05-03",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "7626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100554290",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14197077",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "JONES",
            "middle_name": "L",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensburg, KY

Sources for this page

Verify at the official NPI Registry.