Ethel K Deichman, ACSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34003152A LCSW Issued in IN

Practice address

1807 Smith St
Logansport, IN 46947-1576

Phone

(574) 732-1414

Fax

(574) 732-0504

NPI assigned

Jul 3, 2006

Last updated

Apr 11, 2008By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Four County Comprehensive Mental Health Center, Inc

  dba 4C Health

  • Psychiatric Hospital
  • Peru, IN
  • NPI 1457539751
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1881624310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 MICHIGAN AVE",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471526",
            "telephone_number": "574-722-5151",
            "fax_number": "574-739-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 SMITH ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471576",
            "telephone_number": "574-732-1414",
            "fax_number": "574-732-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEICHMAN",
        "first_name": "ETHEL",
        "middle_name": "K",
        "credential": "ACSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003152A   LCSW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Davis
• Jill L Day, PTA
• Hope Decker
• Vickie Deeds, NP
• August Degeorge, OTD, OTR/L
• Mary A Deinnocentes, MS,CCC-SLP-A
• Lauren R Deitrich, BS
• Anthony Delaplane
• Gregory S Densborn, O.D.
• Dental Professionals of Indiana, P.C. (Dental Plus)

• Clinical Social Worker in Logansport, IN
• Providers in Logansport, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.