Casey Michelle Deacon in Fayetteville - Clinical
Casey Michelle Deacon - NPI 1871695742
Casey Michelle Deacon is a Clinical in Fayetteville, Arkansas. Casey Michelle Deacon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Casey Michelle Deacon is 1871695742. The last update date is 2022-07-21.
Casey Michelle Deacon's current location address is 1231 East Southern Heights, Fayetteville, Arkansas. You can contact this provider via phone number 4793874535. The mailing address for Casey Michelle Deacon is 1231 East Southern Heights, Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Casey Michelle Deacon |
|---|---|
| Address | 1231 East Southern Heights, Fayetteville, Arkansas |
| Phone Number | 4793874535 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1871695742 |
|---|---|
| Provider Enumeration Date | 2006-09-02 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1231 East Southern Heights |
|---|---|
| City | Fayetteville |
| State | Arkansas (AR) |
| Post Code | 72701 |
| Phone Number | 4793874535 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1975-C |
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Definition: 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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5Y807 | AR | AR BLUE CROSS # |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Casey Michelle Deacon by the Centers for Medicare & Medicaid Services?
The Casey Michelle Deacon has been issued the NPI (National Provider Identifier) 1871695742 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Casey Michelle Deacon located?
The Casey Michelle Deacon is located at 1231 East Southern Heights, Fayetteville, AR 72701.
What is the area of specialization for Casey Michelle Deacon, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Casey Michelle Deacon is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
When was the Casey Michelle Deacon's 1871695742 issued?
The Casey Michelle Deacon's 1871695742 was issued on 2006-09-02.
When was the Casey Michelle Deacon's information last updated?
The Casey Michelle Deacon's information was last updated on 2022-07-21.