Deanna Baasch, LICSW
Individual provider Active NPI Clinical Social Worker · Manchester, VT
NPI 1508303579 · NPPES record last updated Oct 27, 2021
Key facts
- NPI
- 1508303579
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 089.0134171 (VT)
- Practice address
- 4351 Main Street
Manchester, VT 05254-0844 - Phone
- (802) 899-0333
- NPI assigned
- Jan 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4351 Main St
Manchester, VT 05254-0844
Phone (802) 899-0333
PO Box
Suite 844
Manchester, VT 05254-0844
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- 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 |
|---|---|---|---|---|
| I20190220000114 | VT | Practitioner - Clinical Social Worker | 4981942885 | Practice locations: Manchester, VT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metta Healing, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | 089.0134171 | VT | Yes |
Addresses
Primary practice location
4351 Main Street
Manchester, VT 05254-0844
Mailing address
PO Box 844
Manchester, VT 05254-0844
Phone (802) 899-0333
Other practice location 1
100 Ledgehill Rd
Bennington, VT 05201-2273
Phone (802) 442-5491
Other providers in Manchester, VT
- Alpine Physical Therapy & Sports Care, P.C.
- Megan Ruth Beattie-Cassan
- Sandra W. Birch
- Elizabeth Brigante
- John R. De Bitetto
- Equinox Family Medicine, PC
All providers in Manchester, VT · Clinical Social Worker in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2021. 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.