Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dane Deciero

Individual provider Clinical Social Worker · NPI 1790174852

Dane Deciero is a Clinical Social Worker in Austin, Texas. Qualified in 2011, 15 years ago. Practices with Deep Eddy Psychotherapy Management, LLC, a 77-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
15
Licensed in
TX
In the registry since
2015
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Practice location Address checks out

1500 W 38th St Ste 44
Austin, TX 78731-6319
Phone: (512) 673-6102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 55489 (TX)

Record details

NPI number1790174852
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 13, 2015
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Deep Eddy Psychotherapy Management, Llc — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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