Deidre Lasche' Neely, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P015517 Issued in NC

Practice address

515 Eaton St
Fayetteville, NC 28301-4003

Phone

(910) 229-1278

NPI assigned

Sep 13, 2022

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 names 1

• Deidre Lasche' Neely-Peeples Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Family Services of America

  • Foster Care Agency
  • Fayetteville, NC
  • NPI 1548553613
  NPD

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1174245526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5302 YADKIN RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283033255",
            "telephone_number": "910-527-1908",
            "fax_number": "910-860-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 EATON ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014003",
            "telephone_number": "910-229-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY",
        "first_name": "DEIDRE",
        "middle_name": "LASCHE'",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEIDRE",
            "last_name": "NEELY-PEEPLES",
            "middle_name": "LASCHE'",
            "credential": "LCSWA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin Nededog
• Lauren Amanda Nederostek, PT, DPT
• Nuyka Nee
• Abigail Rae Needell, PA-C
• Renaldo O'Neal Neeley, MD
• Cassandra Neidhart
• Cynthia Hall Nelon, M.ED.,
• Nelson & Nelson Chiropractic, P.C.
• Nelson & Nelson III, P.C.
• Nelson & Nelson VI, P.C.

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.