Individual provider Active NPI

Danielle Deike, MSW, LISW

  • Clinical Social Worker
  • Beavercreek, OH
National Provider Identifier
1962948919
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1500977 Issued in OH
Practice address
2981 Patsie Dr
Beavercreek, OH 45434-6150
Phone
(937) 369-0837
NPI assigned
Jan 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1500977 OH Primary

Addresses

Primary practice location

2981 Patsie Dr
Beavercreek, OH 45434-6150

Mailing address

2981 Patsie Dr
Beavercreek, OH 45434-6150
Phone (937) 234-7038

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

LicenseStateTypeSpecialty
I.1500977OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Danielle Deike Counseling & Consulting LLC CurrentSince Dec 6, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1484438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1962948919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2981 PATSIE DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346150",
            "telephone_number": "937-234-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2981 PATSIE DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346150",
            "telephone_number": "937-369-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEIKE",
        "first_name": "DANIELLE",
        "credential": "MSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-15",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1500977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.