Individual provider Active NPI

Mary Diehl Deucher, LISW

  • Clinical Social Worker
  • Oberlin, OH
National Provider Identifier
1508984352
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I. 0009484 Issued in OH
Practice address
5 S Main St
Suite 302
Oberlin, OH 44074-1677
Phone
(440) 775-7171
Fax
(440) 774-2339
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plum Creek Associates Inc 2 clinicians

Practice addresses (Care Compare)

5 S Main St
Suite 302
Oberlin, OH 44074-1600
Phone (440) 775-7171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20070723000456 OH Practitioner - Clinical Social Worker 0244331163 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I. 0009484OHMDClinical Social Worker

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I. 0009484 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

5 S Main St
Suite 302
Oberlin, OH 44074-1677

Mailing address

14913 Garfield Rd
Sueite 302
Wakeman, OH 44889-9584
Phone (440) 965-4775

Other names 1

NPPES NPI Registry
  • Mary Margaret Deucher Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508984352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14913 GARFIELD RD",
            "address_2": "SUEITE 302",
            "city": "WAKEMAN",
            "state": "OH",
            "postal_code": "448899584",
            "telephone_number": "440-965-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 S MAIN ST",
            "address_2": "SUITE 302",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440741677",
            "telephone_number": "440-775-7171",
            "fax_number": "440-774-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUCHER",
        "first_name": "MARY",
        "middle_name": "DIEHL",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I. 0009484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "DEUCHER",
            "middle_name": "MARGARET",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oberlin, OH

Sources for this page

Verify at the official NPI Registry.