Active NPI
Stephanie Rene Deel, MSW, LSW
- Social Worker
- Avon, IN
National Provider Identifier
1912666751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 33010296A
- Practice address
- 10080 E US Highway 36 Ste a
Avon, IN 46123-8174 - Phone
- (317) 790-9396
- NPI assigned
- Dec 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 33010296A | IN | Primary |
Addresses
Primary practice location
10080 E US Highway 36 Ste a
Avon, IN 46123-8174
Mailing address
2070 Woodfield Dr
Greenwood, IN 46143-6413
Phone (317) 201-3377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33010296A | Other | IN | OTHER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33010296A | IN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care to Change, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Avon, IN
- NPI 1902304728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639008000000",
"number": "1912666751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2070 WOODFIELD DR",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461436413",
"telephone_number": "317-201-3377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10080 E US HIGHWAY 36 STE A",
"city": "AVON",
"state": "IN",
"postal_code": "461238174",
"telephone_number": "317-790-9396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEEL",
"first_name": "STEPHANIE",
"middle_name": "RENE",
"credential": "MSW, LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-09",
"last_updated": "2021-12-09",
"certification_date": "2021-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33010296A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER",
"identifier": "33010296A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.