Sandra Sue Deatley

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2019028335 Issued in MO

Practice address

2328 NE 37TH St
Kansas City, MO 64116-2503

Phone

(816) 531-4285

NPI assigned

Jan 9, 2021

Last updated

Jan 9, 2021By 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

Other identifiers 1

Other names 1

• Sandra Sue McHugh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1610150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1932797412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 NE 37TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641162503",
            "telephone_number": "816-531-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 NE 37TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641162503",
            "telephone_number": "816-531-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEATLEY",
        "first_name": "SANDRA",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-09",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2019028335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI CLINICAL SOCIAL WORKER LICENSE",
            "identifier": "2019028335",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "MCHUGH",
            "middle_name": "SUE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tonya Dean, LMSW
• Sara Dear
• Andrea Jaclyn Dearing
• Elizabeth N Deason, PLPC
• Marcy Lynette Deatherage, OTR
• Mark C Debenito
• Samantha Kathryn Debey
• Megan Deboom
• Deborah R Garnett, PH.D. LLC
• Deborah Washam Dba Bare Essentials

• Clinical Social Worker in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Clinical Social Worker in Missouri

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

Verify at the official NPI Registry.