Chassity Ann Deur, LMSW
Individual provider Active NPI Social Worker · Pella, IA
NPI 1376563833 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376563833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 06735 (IA)
- Practice address
- 2611 Washington Street
Pella, IA 50219-1257 - Phone
- (641) 628-9599
- Fax
- (641) 621-1493
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Covenant Medical Center Inc
Practice addresses (Care Compare)
217 20TH St NW
Mercyone Waverly Family Medicine
Waverly, IA 50677-2017
Phone (319) 352-9500
Hospital & facility affiliations
- Mercyone Waterloo Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120615000581 | IA | Practitioner - Clinical Social Worker | 7911161245 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06735 | IA | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 06735 | IA | Yes |
Addresses
Primary practice location
2611 Washington Street
Pella, IA 50219-1257
Mailing address
2611 Washington Street
Pella, IA 50219-1257
Phone (641) 628-9599
Other providers in Pella, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.