Active NPI
Deanna Marie Smith, LCSW
- Clinical Social Worker
- Woodstock, IL
National Provider Identifier
1689791071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801087879
- Practice address
- 3701 Doty Rd
Woodstock, IL 60098 - Phone
- (815) 338-6600
- Fax
- (815) 206-5376
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801087879 | MI | |
| Clinical Social Worker | 1041C0700X | 6801087879 | MI | Primary |
| Social Worker | 104100000X | 149015223 | IL |
Addresses
Primary practice location
3701 Doty Rd
Woodstock, IL 60098
Mailing address
3701 Doty Rd
Woodstock, IL 60098-7509
Phone (815) 338-6600
Other practice location 1
4201 W Medical Center Dr
McHenry, IL 60050-8409
Phone (815) 338-6600
Other practice location 2
10400 Haligus Rd
Huntley, IL 60142-9553
Phone (815) 338-6600
Other practice location 3
4250 Plymouth Rd
Ann Arbor, MI 48109-2700
Phone (734) 936-4000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801087879 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540166400000",
"number": "1689791071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 DOTY RD",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600987509",
"telephone_number": "815-338-6600",
"fax_number": "815-206-5376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 DOTY RD",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "60098",
"telephone_number": "815-338-6600",
"fax_number": "815-206-5376"
}
],
"practiceLocations": [
{
"address_1": "4201 W Medical Center Dr",
"address_purpose": "LOCATION",
"city": "McHenry",
"state": "IL",
"postal_code": "600508409",
"country_code": "US",
"telephone_number": "815-338-6600",
"fax_number": "815-206-5376",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10400 Haligus Rd",
"address_purpose": "LOCATION",
"city": "Huntley",
"state": "IL",
"postal_code": "601429553",
"country_code": "US",
"telephone_number": "815-338-6600",
"fax_number": "815-206-5376",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4250 Plymouth Rd",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481092700",
"country_code": "US",
"telephone_number": "734-936-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "DEANNA",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2018-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801087879",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801087879",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "149015223",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.