Catherine Dejesus, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW006968 Issued in GA

Practice address

10 Harmony LN
Savannah, GA 31419-9862

Phone

(215) 313-3689

NPI assigned

Nov 19, 2019

Last updated

Feb 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Way Station Counseling, LLC

  • Clinical Social Worker
  • Richmond Hill, GA
  • NPI 1649803867
  Authorized official Same address or phone

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581811200000",
    "number": "1881230415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 FRANCES MEEKS WAY STE 6",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243984",
            "telephone_number": "215-313-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HARMONY LN",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314199862",
            "telephone_number": "215-313-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJESUS",
        "first_name": "CATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2020-02-16",
        "certification_date": "2020-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William J Degenhart, MD
• Nicole Hope Degennaro, PA
• Joseph W Dehaven, M D
• Matthew S. Deich, MD
• Hannah Deiling
• Lauren Dekalb
• Angelyn A. Dekle, APRN, BC, FNP
• John L Dekle Jr., M.D.
• Peyton Parker Dekle
• Sarah Delaporte, LPC

• Clinical Social Worker in Savannah, GA
• Providers in Savannah, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2020; 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.