Individual provider Active NPI

Deanna Marie Stelt, MA LSW

  • Clinical Social Worker
  • Youngstown, OH
National Provider Identifier
1508457268
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.0014123 Issued in OH
Practice address
725 Boardman Canfield Rd Ste L1
Youngstown, OH 44512-4370
Phone
(330) 330-8655
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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 S.0014123 OH Primary

Addresses

Primary practice location

725 Boardman Canfield Rd Ste L1
Youngstown, OH 44512-4370

Mailing address

2732 Salt Springs Rd
Warren, OH 44481-9231
Phone (330) 502-7163

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
S.0014123OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1508457268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 SALT SPRINGS RD",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444819231",
            "telephone_number": "330-502-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 BOARDMAN CANFIELD RD STE L1",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124370",
            "telephone_number": "330-330-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELT",
        "first_name": "DEANNA",
        "middle_name": "MARIE",
        "credential": "MA LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.0014123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.