Dana Courtney Despradel, LISW CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9748 Issued in SC

Practice address

125 Muddy Toes Dr
Anderson, SC 29626-5349

Phone

(864) 353-3384

NPI assigned

May 6, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Counseling for Life, Inc.

  • Professional Counselor
  • Anderson, SC
  • NPI 1588954994
  NPD (past)

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1982996120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MUDDY TOES DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296265349",
            "telephone_number": "864-353-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MUDDY TOES DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296265349",
            "telephone_number": "864-353-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESPRADEL",
        "first_name": "DANA",
        "middle_name": "COURTNEY",
        "credential": "LISW CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-06",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Deppen
• Dermatech
• Dermatology Clinic, PA
• Dermatology House Calls LLC
• Treca Deshields
• Developmental Center for Exceptional Children
• Cynthia Morris Devine
• Laurel Devita
• Sara Deyoung
• Clara Ann Diacsuk

• Clinical Social Worker in Anderson, SC
• Providers in Anderson, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.