Active NPI
Deanna Maria Perrone, LCSW
- Clinical Social Worker
- St Charles, IL
National Provider Identifier
1740612647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149016010
- Practice address
- 3755 E Main St Ste 165
St Charles, IL 60174-2409 - Phone
- (312) 576-4445
- NPI assigned
- Aug 1, 2013
- Reactivated
- Mar 23, 2023
- 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 | 149016010 | IL | Primary |
Addresses
Primary practice location
3755 E Main St Ste 165
St Charles, IL 60174-2409
Mailing address
3755 E Main St Ste 165
St Charles, IL 60174-2409
Phone (312) 576-4445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250616000203 | TX | Practitioner - Clinical Social Worker | 7214448471 | Practice locations: Austin, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149016010 | IL | MD | Clinical Social Worker |
| 109971 | TX | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679529600000",
"number": "1740612647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3755 E MAIN ST STE 165",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601742409",
"telephone_number": "312-576-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3755 E MAIN ST STE 165",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601742409",
"telephone_number": "312-576-4445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRONE",
"first_name": "DEANNA",
"middle_name": "MARIA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-01",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"deactivation_date": "2016-09-30",
"reactivation_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149016010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.