Individual provider Active NPI

Deena Roney, LCSW

  • Clinical Social Worker
  • Diberville, MS
National Provider Identifier
1871120832
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8053 Issued in MS
Practice address
4939 Winsor CV
Diberville, MS 39540-3020
Phone
(228) 697-7174
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8053 MS Primary

Addresses

Primary practice location

4939 Winsor CV
Diberville, MS 39540-3020

Mailing address

PO Box 4594
Biloxi, MS 39535-4594
Phone (228) 273-4096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200406000853 MS Practitioner - Clinical Social Worker 6204265630 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Painstop Spine Clinic, LLCGroup PAC ID 9739355124, 9 clinicians

Practice addresses (Care Compare)

180 B Debuys Rd
Biloxi, MS 39531-4404
Phone (228) 273-4096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8053MSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Painstop Spine Clinic, LLC CurrentSince Mar 30, 2020 Accepting new patients
Thrive Counseling LLC CurrentSince Dec 28, 2021 Accepting new patients
Painstop Spine Clinic, LLC CurrentSince Mar 30, 2020 Accepting new patients

Locations

180B Debuys Rd
Biloxi, MS 39531
Phone (228) 273-4096

4811 Old Canton Rd
Ste A
Jackson, MS 39211
Phone (228) 707-4340

3003 Shortcut Rd
Pascagoula, MS 39567
Phone (228) 273-4096

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1871120832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4594",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395354594",
            "telephone_number": "228-273-4096",
            "fax_number": "228-594-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4939 WINSOR CV",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395403020",
            "telephone_number": "228-697-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONEY",
        "first_name": "DEENA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "8053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diberville, MS

Sources for this page

Verify at the official NPI Registry.