Organization Active NPI

Deanna Shafer LLC

  • Clinical Social Worker
  • Waterloo, IA
National Provider Identifier
1366300758
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DEANNA SHAFER LLC
Practice address
3606 Kimball Ave Ste 6
Waterloo, IA 50702-5732
Phone
(319) 408-8530
Fax
(319) 205-4515
NPI assigned
Jan 13, 2026
Last updated
Jan 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Authorized official

Name
Deanna Shafer, LISWNPI 1649839481
Title
Owner/Therapist
Phone
(319) 408-8530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

3606 Kimball Ave Ste 6
Waterloo, IA 50702-5732

Mailing address

3606 Kimball Ave Ste 6
Waterloo, IA 50702-5732
Phone (319) 408-8530

National Provider Directory

National Provider Directory

Locations

3606 Kimball Ave
Ste 6
Waterloo, IA 50702
Phone (319) 408-8530

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1366300758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 KIMBALL AVE STE 6",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025732",
            "telephone_number": "319-408-8530",
            "fax_number": "319-205-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 KIMBALL AVE STE 6",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025732",
            "telephone_number": "319-408-8530",
            "fax_number": "319-205-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEANNA SHAFER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "SHAFER",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "319-408-8530",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.