Individual provider Active NPI

Chasity J. Deal, LCSW, MSW, MPH

  • Clinical Social Worker
  • Memphis, TN
National Provider Identifier
1255034039
Registry record updated Oct 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10191 Issued in TN
Practice address
2500 Mount Moriah Rd Ste H227
Memphis, TN 38115-1523
Phone
(901) 430-0785
NPI assigned
Mar 22, 2023
Last updated
Oct 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC20004093 DC
Clinical Social Worker 1041C0700X 10191 TN Primary
Clinical Social Worker 1041C0700X 27286-C AR
Clinical Social Worker 1041C0700X 34797 MD
Clinical Social Worker 1041C0700X 0904019730 VA
Clinical Social Worker 1041C0700X C11869 MS

Addresses

Primary practice location

2500 Mount Moriah Rd Ste H227
Memphis, TN 38115-1523

Mailing address

2298 Young Ave Unit 495
Memphis, TN 38104-5755
Phone (901) 430-0785

Other identifiers 1

IdentifierTypeStateIssuer
Q110927MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20260327002984 TN Practitioner - Clinical Social Worker 4880179829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

275 Cumberland BND
Nashville, TN 37228-1805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
XXXXX4093DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Roots Therapy, PLLC Clinical Current Accepting new patients
Safe Space Therapy and Retreats PastSince Jul 2, 2023 Accepting new patients

Locations

2298 Young Ave
Memphis, TN 38104
Phone (615) 237-2550

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792886400000",
    "number": "1255034039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2298 YOUNG AVE UNIT 495",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381045755",
            "telephone_number": "901-430-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MOUNT MORIAH RD STE H227",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381151523",
            "telephone_number": "901-430-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAL",
        "first_name": "CHASITY",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "LCSW, MSW, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2026-10-25",
        "certification_date": "2026-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC20004093",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "10191",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "27286-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "34797",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904019730",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C11869",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q110927",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.