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MR. GEORGE WILLIAM DEEGAN PSW874 NPI 1841543147


NPI Information

NPI: 1841543147
Provider Name: MR. GEORGE WILLIAM DEEGAN, PSW874
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
306 UNION AVE
CRESCENT CITY, FL
ZIP 32112
Phone: (386) 698-1232
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MR. George William Deegan, PSW874 is a clinical social worker in Crescent City, FL. The provider is 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. MR. George William Deegan, PSW874 NPI is 1841543147. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

306 UNION AVE
CRESCENT CITY, FL
ZIP 32112-432
Phone: (386) 698-1232
Fax: (386) 698-4154

The enumeration date for this NPI number is 10/24/2012 and was last updated on 10/24/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)5565FLORIDANo
2101YA0400XCounselorAddiction (Substance Use Disorder)1905NEW YORKNo
31041C0700XSocial WorkerClinical72072418NEW YORKNo
41041C0700XSocial WorkerClinicalPSW874FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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