Active NPI
Deanna Jeanne Brown, LCSW
- Clinical Social Worker
- Appleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801093118
- Practice address
- 1835 E Edgewood Dr Ste 105-534
Appleton, WI 54913-9407 - Phone
- (715) 889-6452
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 6801093118 | MI | Primary |
Addresses
Primary practice location
1835 E Edgewood Dr Ste 105-534
Appleton, WI 54913-9407
Mailing address
1835 E Edgewood Dr Ste 105-534
Appleton, WI 54913-9407
Phone (715) 889-0784
Other practice location 1
715 Pyle Dr
Kingsford, MI 49802-4456
Phone (906) 774-0522
Other names 1
- Deanna Jeanne Vaughn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- 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
- Michigan State University College of Human Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1835 E Edgewood Dr
Suite 105 534
Appleton, WI 54913-9407
Phone (715) 889-0784
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801093118 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwoods Therapist LLC | Clinical | Current | Accepting new patients |
| County of Marinette | Current | Accepting new patients | |
| County of Marinette | Current | Accepting new patients |
Locations
1835 E Edgewood Dr
Ste 105534
Appleton, WI 54913
Phone (715) 889-0784
2500 Hall Ave
Ste A
Marinette, WI 54143
Phone (715) 732-7760
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Appleton, WI
- NPI 1427788850
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Marinette, WI
- NPI 1134237480
-
- Public Health or Welfare Agency
- Marinette, WI
- NPI 1205999653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1346265519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1835 E EDGEWOOD DR STE 105-534",
"city": "APPLETON",
"state": "WI",
"postal_code": "549139407",
"telephone_number": "715-889-0784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 E EDGEWOOD DR STE 105-534",
"city": "APPLETON",
"state": "WI",
"postal_code": "549139407",
"telephone_number": "715-889-6452"
}
],
"practiceLocations": [
{
"address_1": "715 Pyle Dr",
"address_purpose": "LOCATION",
"city": "Kingsford",
"state": "MI",
"postal_code": "498024456",
"country_code": "US",
"telephone_number": "906-774-0522",
"fax_number": "906-774-1570",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "DEANNA",
"middle_name": "JEANNE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801093118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEANNA",
"last_name": "VAUGHN",
"middle_name": "JEANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.