Deana Payne, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2005022527 Issued in MO

Practice address

83 Highway 49
Viburnum, MO 65566-1001

Phone

(573) 244-5555

NPI assigned

Jul 3, 2006

Sex

Female

Sole proprietor

No

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.

• Anchored Soul Counseling, LLC

  • Clinical Social Worker
  • Steelville, MO
  • NPI 1417712977
  Medicare reassignment NPD Authorized official CLINICAL · MO

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 20, 2020.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1942230552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 706",
            "city": "VIBURNUM",
            "state": "MO",
            "postal_code": "655660706",
            "telephone_number": "573-244-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HIGHWAY 49",
            "city": "VIBURNUM",
            "state": "MO",
            "postal_code": "655661001",
            "telephone_number": "573-244-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Viburnum Shopping Center",
            "address_purpose": "LOCATION",
            "city": "Viburnum",
            "state": "MO",
            "postal_code": "655668620",
            "country_code": "US",
            "telephone_number": "573-244-5406",
            "fax_number": "573-244-5590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "DEANA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2005022527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497220806",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iron County C-4 School District
• Iron County EMS
• Lester E Cox Medical Centers
• Mma Healthcare of Viburnum, Inc.
• Theodore Joshua Olbricht
• Linda Sue Pyatt
• Vanessa R Roper, LPN
• Stonecrest SNF Opco LLC

• All providers in Viburnum, MO
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.