Individual provider Active NPI

Deanna Stock

  • Clinical Social Worker
  • Camdenton, MO
National Provider Identifier
1467475509
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
29014 Issued in TX
Practice address
30 Lakeview Drive
Camdenton, MO 65020-7108
Phone
(573) 814-6580
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 29014 TX Primary

Addresses

Primary practice location

30 Lakeview Drive
Camdenton, MO 65020-7108

Mailing address

Army Substance Abuse Program Usag Wiesbaden
Unit 29623
Apo Ae, GERMANY 09096
DE

Other names 1

  • Deanna Catovic Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29014TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1467475509",
    "addresses": [
        {
            "country_code": "DE",
            "country_name": "Germany",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "ARMY SUBSTANCE ABUSE PROGRAM USAG WIESBADEN",
            "address_2": "UNIT 29623",
            "city": "APO AE",
            "state": "GERMANY",
            "postal_code": "09096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LAKEVIEW DRIVE",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650207108",
            "telephone_number": "573-814-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCK",
        "first_name": "DEANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "29014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "CATOVIC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Camdenton, MO

Sources for this page

Verify at the official NPI Registry.