Douglas Thomas Deane, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00662600 Issued in NJ

Practice address

832 Brunswick Ave
Gtbhc
Trenton, NJ 08608

Phone

(609) 396-8877

NPI assigned

Jul 26, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Greater Trenton CMHC Inc.

  dba Greater Trenton Behavioral HealthCare

  • Community/Behavioral Health Agency
  • Trenton, NJ
  • NPI 1336217421
  NPD (past)
• Charlotte White Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dover Foxcroft, ME
  • NPI 1649337197
  NPD (past)
• Penquis C.a.P., Inc.

  • Community/Behavioral Health Agency
  • Bangor, ME
  • NPI 1720087075
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447250139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 MERCER DRIVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080333625",
            "telephone_number": "856-547-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 BRUNSWICK AVE",
            "address_2": "GTBHC",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "08608",
            "telephone_number": "609-396-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANE",
        "first_name": "DOUGLAS",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC9636",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00662600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakerra Davis, RN
• Tommy Davis, PH.D.
• Jason Dawlabani
• Nassif Elias Dawlabani, M.D.
• Dawn M Johnson LPC LLC
• Olivia Dees
• Alexandra R Degirolamo, LCADC
• Rolando L. Degoma, MD
• James Delahanty, D.M.D.
• Danelly Carina Deleon

• Clinical Social Worker in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.