Individual provider Active NPI

Deanna Baasch, LICSW

  • Clinical Social Worker
  • Manchester, VT
National Provider Identifier
1508303579
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0134171 Issued in VT
Practice address
4351 Main Street
Manchester, VT 05254-0844
Phone
(802) 899-0333
NPI assigned
Jan 27, 2017
Last updated
Oct 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 089.0134171 VT Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190220000114 VT Practitioner - Clinical Social Worker 4981942885 Practice locations: Manchester, VT

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Metta Healing, LLC CurrentSince Apr 11, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1508303579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844",
            "city": "MANCHESTER",
            "state": "VT",
            "postal_code": "052540844",
            "telephone_number": "802-899-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 MAIN STREET",
            "city": "MANCHESTER",
            "state": "VT",
            "postal_code": "052540844",
            "telephone_number": "802-899-0333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Ledgehill Rd",
            "address_purpose": "LOCATION",
            "city": "Bennington",
            "state": "VT",
            "postal_code": "052012273",
            "country_code": "US",
            "telephone_number": "802-442-5491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAASCH",
        "first_name": "DEANNA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0134171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, VT

Sources for this page

Verify at the official NPI Registry.