Individual provider Active NPI

Chantale Deus Pierre, LCSW

  • Clinical Social Worker
  • Minneola, FL
National Provider Identifier
1205197555
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW24979 Issued in FL
Practice address
1031 Fox Trail Ave
Minneola, FL 34715-5259
Phone
(352) 459-4164
NPI assigned
Jun 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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 SW24979 FL Primary

Addresses

Primary practice location

1031 Fox Trail Ave
Minneola, FL 34715-5259

Mailing address

1031 Fox Trail Ave
Minneola, FL 34715-5259
Phone (352) 459-4164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20251118001357 FL Practitioner - Clinical Social Worker 9931560232 Reassigns benefits to 1 organization
Practice locations: Pembroke Pines, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1079 Cavender Creek Rd
Minneola, FL 34715-7673

66 E Flagler St
Miami, FL 33130-1807

9050 Pines Blvd
Pembroke Pines, FL 33024-6422

9050 Pines Blvd
Suite 425 428
Pembroke Pines, FL 33024-6455
Phone (954) 271-5676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW24979FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Good Shepherd Psychiatric & Medical Center Inc Clinical PastSince Jul 1, 2023 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1205197555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 FOX TRAIL AVE",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347155259",
            "telephone_number": "352-459-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 FOX TRAIL AVE",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347155259",
            "telephone_number": "352-459-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUS PIERRE",
        "first_name": "CHANTALE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW24979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneola, FL

Sources for this page

Verify at the official NPI Registry.