Active NPI
Deanna Shafer LLC
- Clinical Social Worker
- Waterloo, IA
National Provider Identifier
1366300758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deanna Shafer, LISW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Waterloo, IA
- NPI 1649839481
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.