Chester Anthony Deangelis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9925827 Issued in CO

Practice address

13620 Halleluiah TRL
Elbert, CO 80106-9020

Phone

(718) 495-3908

Fax

(719) 494-1689

NPI assigned

Apr 4, 2019

Last updated

Apr 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Poudre Valley Medical Group, LLC

  dba UCHealth Medical Group

  • General Practice Physician
  • Loveland, CO
  • NPI 1225356868
  Medicare reassignment NPD
• Stablestrides

  • Community/Behavioral Health Agency
  • Elbert, CO
  • NPI 1215208459
  NPD (past) Authorized official
• Stablestrides

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
  • NPI 1952177479

  Clinical

  NPD (past) Authorized official
• Poudre Valley Medical Group, LLC

  dba UCHealth Medical Group

  • General Practice Physician
  • Loveland, CO
  • NPI 1366763260
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1770045064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13620 HALLELUIAH TRL",
            "city": "ELBERT",
            "state": "CO",
            "postal_code": "801069020",
            "telephone_number": "719-495-3908",
            "fax_number": "719-494-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 HALLELUIAH TRL",
            "city": "ELBERT",
            "state": "CO",
            "postal_code": "801069020",
            "telephone_number": "718-495-3908",
            "fax_number": "719-494-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANGELIS",
        "first_name": "CHESTER",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "9925827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Deanne Bess, RN
• Brite Beginnings
• Lisa Chaney
• Hollie Sue Christiansen
• Alicia Cooke
• Deborah L Dewitt, LMFT
• Lenore Allison Dreisbach, CRNA
• Elbert Fire Protection District
• Kelly Ray Gregg, M.D.
• Alli Marie Heilman, NP

• Clinical Social Worker in Elbert, CO
• Providers in Elbert, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.

Verify at the official NPI Registry.