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

Deanna Derry, LCSW

Individual provider Clinical Social Worker · NPI 1639955263

Deanna Derry, LCSW is a Clinical Social Worker in Fort Wayne, Indiana. Qualified in 2020, 6 years ago. Accepts Medicare assignment.

Years since qualifying
6
In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4656 W Jefferson Blvd Ste 285
Fort Wayne, IN 46804-6838
Phone: (260) 422-9372
Fax: (260) 422-0843
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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

Record details

NPI number1639955263
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 8, 2023
Last updated in NPPESSeptember 8, 2023
Certification dateSeptember 8, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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