DEANNA SUE SMITH (NPI# 1093177719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093177719 |
| Entity Type | Individual |
| Full Name | DEANNA SUE SMITH |
| Practice Address |
265 E Chubbuck Rd Ste A Chubbuck ID 83202-5055 |
| Mailing Address |
2497 N Furgeson Ln Inkom ID 83245-1617 |
| Practice Telephone | 2082371711 |
| Mailing Telephone | 2082417681 |
| Mailing Fax Number | 2082367423 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LMSW-31238 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801385844 | Deanna Krystine Smith | Doula | 19021 67th Ave Se, Snohomish, WA 98296-5345 | 2018-05-04 |
| 1043707136 | Deanna Lee Smith | Social Worker | 5411 S Vine St Unit 6, Salt Lake City, UT 84107-7746 | 2018-04-16 |
| 1821597287 | Deanna Smith | Counselor | 12320 I-30 Frontage Road, Little Rock, AR 72210 | 2018-02-12 |
| 1710235122 | Deanna L Smith | Nurse Practitioner | 25950 Dixie Hwy, Perrysburg, OH 43551-2983 | 2012-08-16 |
| 1992838841 | Deanna Smith | Social Worker | 561 Thornton Rd Ste R, Lithia Springs, GA 30122-1558 | 2007-03-13 |
| 1407992258 | Deanna H Smith | Social Worker | 9409 Cedar Look Drive, Louisville, KY 40291 | 2007-01-29 |
| 1700972049 | Deanna Galiano Smith | Speech-Language Pathologist | 2241 Clematis Trl, Sumter, SC 29150-2364 | 2006-10-05 |
| 1922018837 | Deanna C Smith | Speech-Language Pathologist | 126 N Salem St, Suite 201, Apex, NC 27502-1428 | 2006-08-09 |
| 1770120032 | Deanna Michelle Smith | Peer Specialist | 5410 N 44th St, Tacoma, WA 98407-3799 | 2019-12-05 |
| 1063931814 | Deanna S Smith | Counselor | 2330 Vartan Way Ste 204, Harrisburg, PA 17110-9763 | 2017-09-13 |
| Street Address |
265 E CHUBBUCK RD STE A |
| City | CHUBBUCK |
| State | ID |
| Zip Code | 83202-5055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639653 | Sophia M Garrett | Physical Therapist | 265 E Chubbuck Rd Ste A, Chubbuck, ID 83202-5055 | 2020-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700379682 | Vera Whole Health, Wa PC | Clinic/Center | 219 Phil Meador Ave, Pocatello, ID 83202 | 2018-06-14 |
| 1649712597 | Angie M Mccurdy | Audiologist | 4155 Yellowstone Hwy, Pine Ridge Mall, Pocatello, ID 83202 | 2016-11-09 |
| 1285180836 | Beverly Grigg Jones | Counselor | 210 W. Burnside, Chubbuck, ID 83202 | 2016-09-01 |
| 1376992503 | Andrea Walsh | Nurse Practitioner | 1133 Call Creek Dr, Ste A, Pocatello, ID 83202 | 2016-06-08 |
| 1215381181 | Specialized Physical Therapy Pllc | Clinic/Center | 4141 Poleline Rd Ste A, Pocatello, ID 83202 | 2016-04-18 |
| 1457713588 | Jennifer Ann Gould | Radiologic Technologist | 907 Ryan Street, Chubbuck, ID 83202 | 2016-03-28 |
| 1154714897 | Phoenix Management LLC | Day Training, Developmentally Disabled Services | 10991 Deerridge Dr., Chubbuck, ID 83202 | 2015-03-05 |
| 1750781449 | Jennifer Lynn Seaich | Counselor | 4460 Center Way, Center Counseling, Pocatello, ID 83202 | 2014-08-29 |
| 1336562412 | Kurt Layton | Counselor | 337 Joel, Chubbuck, ID 83202 | 2014-01-27 |
| 1245653468 | Hannah's Place LLC | Occupational Therapist | 240 W Burnside Ave Ste D, Chubbuck, ID 83202 | 2014-01-23 |
| Find all providers in zip 83202 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104374974 | Center Counseling, LLC | Social Worker | 265 East Chubbuck, Chubbuck, ID 83202-5055 | 2016-09-21 |
| 1063755635 | Scott Broberg | Social Worker | 265 E Chubbuck Road, Chubbuck, ID 83202 | 2013-04-02 |
| 1548585458 | Mental Health Specialists | Social Worker | 210 W Burnside Ave, Suite A, Chubbuck, ID 83202-4916 | 2010-04-02 |
| 1568798106 | Teresa K Belnap-hazen | Social Worker | 445 W Chubbuck Rd Ste C, Chubbuck, ID 83202-5069 | 2009-11-01 |
| 1801335633 | Shellie Waterman | Social Worker | 210 W Burnside Ave, Suite A, Chubbuck, ID 83202-4916 | 2017-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171961 | Jill Michelle Chonody | Social Worker | 3134 S Waterbury Ln, Boise, ID 83706-5222 | 2020-10-09 |
| 1750999777 | Deanna Armenia Brent | Social Worker | 7450 W Althea Ct, Boise, ID 83709-1777 | 2020-07-15 |
| 1164040820 | Sylinda Lee Mendenhall | Social Worker | 771 S Jafer Court, Idaho Falls, ID 83401-8404 | 2020-07-09 |
| 1013533231 | Sylvia Oh | Social Worker | 2118 S Latah St, Boise, ID 83705-3947 | 2020-06-23 |
| 1073135851 | Kimberly Ruth Carey | Social Worker | 6160 Dallas Ln, Bonners Ferry, ID 83805-9794 | 2020-05-14 |
| 1497377469 | Raising Resilience Holistic Mental Wellness Inc | Social Worker | 610 W Hubbard St Ste 226, Coeur D Alene, ID 83814-2200 | 2020-05-13 |
| 1417577412 | Stacey Titus Pllc | Social Worker | 5440 W Franklin Rd Ste 201, Boise, ID 83705-6434 | 2020-04-20 |
| 1922627314 | Taresa Dawn Crow | Social Worker | 3655 Samuel St, Ammon, ID 83406-7822 | 2020-04-15 |
| 1447888656 | Berndt and Associates In Psychcare LLC | Social Worker | 4477 W Emerald St Ste C275, Boise, ID 83706-2078 | 2020-04-01 |
| 1467086603 | Abundant Serenity LLC | Social Worker | 925 N Main St Ste A, Meridian, ID 83642-2301 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.