Individual provider Active NPI

Deanna F. Omoniyi, LMSW, CAADC, ADS

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1982945101
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801094938 Issued in MI
Practice address
834 King Hwy Ste 120
Kalamazoo, MI 49001-2579
Phone
(269) 598-2837
Fax
(844) 279-3926
NPI assigned
Mar 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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 6801094938 MI Primary

Addresses

Primary practice location

834 King Hwy Ste 120
Kalamazoo, MI 49001-2579

Mailing address

834 King Hwy Ste 120
Kalamazoo, MI 49001-2579
Phone (269) 598-2837

Other names 1

  • Deanna F. Burton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150814013505 MI Practitioner - Clinical Social Worker 0941515290 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Rest Christian Mental Health Services CurrentSince Aug 7, 2019 Accepting new patients
Insight Axis Counseling, LLC Current Accepting new patients
Pine Rest Christian Mental Health Services Social Worker CurrentSince Aug 7, 2019 Accepting new patients
Family Health Center Inc CurrentSince Oct 13, 2015 Accepting new patients
Family Health Center Inc CurrentSince Oct 13, 2015 Accepting new patients
Kalamazoo Empowerment Services, PLC CurrentSince Jan 1, 2017 Accepting new patients
Chosen, PLLC PastSince Jan 1, 2020 Accepting new patients

Locations

1530 Nichols Rd
Kalamazoo, MI 49006
Phone (269) 343-6700

834 King Hwy
Ste 120
Kalamazoo, MI 49001
Phone (269) 598-2837

117 W Paterson St
Kalamazoo, MI 49007

300 68th St SE
Wyoming, MI 49548
Phone (616) 455-5000

Organizations & group practices 7

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": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1982945101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 KING HWY STE 120",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012579",
            "telephone_number": "269-598-2837",
            "fax_number": "844-279-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 KING HWY STE 120",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012579",
            "telephone_number": "269-598-2837",
            "fax_number": "844-279-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMONIYI",
        "first_name": "DEANNA",
        "middle_name": "F.",
        "credential": "LMSW, CAADC, ADS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "BURTON",
            "middle_name": "F.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.