Active NPI
Desiree Dawn Dehart, APSW
- Clinical Social Worker
- Green Bay, WI
National Provider Identifier
1740103696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 136156-121
- Practice address
- 1061 W Mason St
Green Bay, WI 54303-1858 - Phone
- (920) 437-8256
- Fax
- (920) 458-5670
- NPI assigned
- Jul 30, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 136156-121 | WI | Primary |
Addresses
Primary practice location
1061 W Mason St
Green Bay, WI 54303-1858
Mailing address
1061 W Mason St
Green Bay, WI 54303-1858
Phone (920) 437-8256
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1740103696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 W MASON ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543031858",
"telephone_number": "920-437-8256",
"fax_number": "920-458-5670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 W MASON ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543031858",
"telephone_number": "920-437-8256",
"fax_number": "920-458-5670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEHART",
"first_name": "DESIREE",
"middle_name": "DAWN",
"credential": "APSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-30",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "136156-121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.