Active NPI
Deeann Kay Schmucker
- Clinical Social Worker
- Sacramento, CA
National Provider Identifier
1669070835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19230
- Practice address
- 420 Claydon Way
Sacramento, CA 95864-6036 - Phone
- (916) 765-1636
- NPI assigned
- Oct 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 19230 | CA | Primary |
Addresses
Primary practice location
420 Claydon Way
Sacramento, CA 95864-6036
Mailing address
420 Claydon Way
Sacramento, CA 95864-6036
Phone (916) 765-1636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 1, 2023 through Sep 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19230 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- deeannschmucker@tdh.allscriptsdirect.net
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602374400000",
"number": "1669070835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 CLAYDON WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958646036",
"telephone_number": "916-765-1636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 CLAYDON WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958646036",
"telephone_number": "916-765-1636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMUCKER",
"first_name": "DEEANN",
"middle_name": "KAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-11",
"last_updated": "2020-10-11",
"certification_date": "2020-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "19230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.