Active NPI
Patricia J Deur, LMSW
- Clinical Social Worker
- Muskegon, MI
National Provider Identifier
1467550301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801033910
- Practice address
- 376 E Apple Avenue
Muskegon, MI 49442 - Phone
- (231) 724-1111
- Fax
- (231) 724-3659
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801033910 | MI | Primary |
Addresses
Primary practice location
376 E Apple Avenue
Muskegon, MI 49442
Mailing address
3347 W River
Muskegon, MI 49445
Phone (231) 744-2641
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PD033910 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801033910 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467550301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3347 W RIVER",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "49445",
"telephone_number": "231-744-2641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "376 E APPLE AVENUE",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "49442",
"telephone_number": "231-724-1111",
"fax_number": "231-724-3659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEUR",
"first_name": "PATRICIA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801033910",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "PD033910",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Muskegon, MI
Sources for this page
- 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.