McKenna Brooke Deaton

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

258350 Issued in KY

Practice address

395 Redding Rd Apt 56
Lexington, KY 40517-2369

Phone

(606) 233-7786

NPI assigned

Jan 25, 2024

Last updated

Jan 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Newway Health LLC

  • Clinical Social Worker
  • Prestonsburg, KY
  • NPI 1972210573
  NPD (past)

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1326800327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 REDDING RD APT 56",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405172369",
            "telephone_number": "606-233-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 REDDING RD APT 56",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405172369",
            "telephone_number": "606-233-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEATON",
        "first_name": "MCKENNA",
        "middle_name": "BROOKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "258350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenne Deangelis, ATC
• Jordan Tyler Deangelis, DO
• Ryan Deangelis, MD
• Angela Tackett Dearinger, MD
• Elizabeth Ann Deaton
• Sarah Helen Deaton
• Stephen Paul Deaton, LPO
• Mary Katelynn Debacher, PA-C
• Frederick Coenraad Debeer, MD
• Miles Deberge

• Clinical Social Worker in Lexington, KY
• Providers in Lexington, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.