Active NPI
Jeremy Deger, LISW-S
- Clinical Social Worker
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1901686
- Practice address
- 2031 Belmont Ave
Youngstown, OH 44505-2401 - Phone
- (330) 480-2840
- Fax
- (330) 480-2851
- NPI assigned
- Aug 24, 2016
- Last updated
- May 30, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.1901686 | OH | Primary |
Addresses
Primary practice location
2031 Belmont Ave
Youngstown, OH 44505-2401
Mailing address
725 E Market St
Akron, OH 44305-2421
Phone (330) 315-2639
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0262247 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 480-3655
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Community Drug Board, Inc | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Community Drug Board, Inc | Current | Accepting new patients | |
| Community Drug Board, Inc | Current | Accepting new patients | |
| Community Drug Board, Inc | Current | Accepting new patients |
Locations
725 E Market St
Akron, OH 44305
Phone (330) 434-4141
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
2031 Belmont Ave
Youngstown, OH 44505
Phone (330) 480-3605
Organizations & group practices 7
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.
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-
dba Community Health Center
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- NPI 1861566945
-
dba CHC Addiction Services
- Family Medicine Physician
- Akron, OH
- NPI 1871204081
-
- Clinical Medical Laboratory
- Akron, OH
- NPI 1952631616
-
- Durable Medical Equipment & Medical Supplies
- Boardman, OH
- NPI 1386316107
-
dba MHPY SPC - Howland Outpatient Physical Therapy
- Physical Therapist
- Warren, OH
- NPI 1528736972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1316492853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 E MARKET ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443052421",
"telephone_number": "330-315-2639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2031 BELMONT AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445052401",
"telephone_number": "330-480-2840",
"fax_number": "330-480-2851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGER",
"first_name": "JEREMY",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-24",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1901686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0262247",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.