Individual provider Active NPI

Deanna Baston, LSW

  • Clinical Social Worker
  • Canton, OH
National Provider Identifier
1275922619
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S1100265 Issued in OH
Practice address
4895 Dressler Rd NW
Suite a
Canton, OH 44718-2571
Phone
(330) 493-0083
Fax
(330) 493-3689
NPI assigned
Jan 22, 2015
Last updated
Jan 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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 S1100265 OH Primary

Addresses

Primary practice location

4895 Dressler Rd NW
Suite a
Canton, OH 44718-2571

Mailing address

4895 Dressler Rd NW
Suite a
Canton, OH 44718-2571
Phone (330) 493-0083

Other identifiers 1

IdentifierTypeStateIssuer
2864191MedicaidOH

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S1100265OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway Caring for Children Past 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, 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": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1275922619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4895 DRESSLER RD NW",
            "address_2": "SUITE A",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182571",
            "telephone_number": "330-493-0083",
            "fax_number": "330-493-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4895 DRESSLER RD NW",
            "address_2": "SUITE A",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182571",
            "telephone_number": "330-493-0083",
            "fax_number": "330-493-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTON",
        "first_name": "DEANNA",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S1100265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2864191",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.