Individual provider Active NPI

Carey Deeters, LCSW

  • Clinical Social Worker
  • Bedford, PA
National Provider Identifier
1982002960
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020912 Issued in PA
Practice address
9528 Lincoln Hwy Ste 1
Bedford, PA 15522-3764
Phone
(814) 623-5077
NPI assigned
Dec 8, 2014
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11365-C NV
Clinical Social Worker 1041C0700X 0904019133 VA
Clinical Social Worker 1041C0700X CW020912 PA Primary

Addresses

Primary practice location

9528 Lincoln Hwy Ste 1
Bedford, PA 15522-3764

Mailing address

2366 Covedale Rd
Williamsburg, PA 16693-7224
Phone (814) 330-5781

Other practice location 1

2366 Covedale Rd
Williamsburg, PA 16693-7224
Phone (814) 330-5781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11365-CNVMDClinical Social Worker
0904019133VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carey E Deeters Clinical CurrentSince Aug 7, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1982002960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2366 COVEDALE RD",
            "city": "WILLIAMSBURG",
            "state": "PA",
            "postal_code": "166937224",
            "telephone_number": "814-330-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9528 LINCOLN HWY STE 1",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155223764",
            "telephone_number": "814-623-5077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2366 Covedale Rd",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "PA",
            "postal_code": "166937224",
            "country_code": "US",
            "telephone_number": "814-330-5781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEETERS",
        "first_name": "CAREY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-08",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "11365-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904019133",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, PA

Sources for this page

Verify at the official NPI Registry.