Individual provider Active NPI

Courtney Deadman

  • Social Worker
  • Needville, TX
National Provider Identifier
1821892605
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
108462 Issued in TX
Practice address
10514 Oberrender Rd
Needville, TX 77461-5700
Phone
(979) 985-2835
NPI assigned
Apr 2, 2025
Last updated
Apr 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 108462 TX Primary

Addresses

Primary practice location

10514 Oberrender Rd
Needville, TX 77461-5700

Mailing address

5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631

Other practice location 1

4331 Palomino Sage Trail
Katy, TX 77493
Phone (346) 613-0915

Other practice location 2

540 Heights Blvd Ste 212
Houston, TX 77007-2552
Phone (832) 685-8573

Other identifiers 1

IdentifierTypeStateIssuer
108462OtherTXLICENSE

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

State licenses

LicenseStateTypeSpecialty
108462TXMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1821892605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MING AVE STE 410",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10514 OBERRENDER RD",
            "city": "NEEDVILLE",
            "state": "TX",
            "postal_code": "774615700",
            "telephone_number": "979-985-2835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4331 Palomino Sage Trail",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "77493",
            "country_code": "US",
            "telephone_number": "346-613-0915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 Heights Blvd Ste 212",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770072552",
            "country_code": "US",
            "telephone_number": "832-685-8573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEADMAN",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "108462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "108462",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Needville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.