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

Deeanna Personius, LW61596199

Individual provider Social Worker · NPI 1720758535

Deeanna Personius, LW61596199 is a Clinical Social Worker in Tukwila, Washington. Qualified in 2020, 6 years ago. Practices with Cowlitz Indian Tribe, a 25-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
6
Licensed in
WA
In the registry since
2021
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Practice location Address checks out

15455 65th Ave S
Tukwila, WA 98188-2534
Phone: (206) 721-5170
Fax: (360) 575-1950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LW61596199 (WA)

Record details

NPI number1720758535
Entity typeIndividual (Type 1)
GenderFemale
Credentials LW61596199
Sole proprietorNo
NPI enumeratedSeptember 14, 2021
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024

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)
Group practice Cowlitz Indian Tribe — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tukwila