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

Mr. Michael David Deantonio, LCSW

Individual provider Clinical Social Worker · NPI 1417250655

Mr. Michael David Deantonio, LCSW is a Clinical Social Worker in Chattanooga, Tennessee. Licensed in Tennessee. Registered with an NPI since 2010.

Licensed in
TN
In the registry since
2010
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

6401 Shallowford Rd
Chattanooga, TN 37421-5406
Phone: (423) 893-6500
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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 5709 (TN)

Record details

NPI number1417250655
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 9, 2010
Last updated in NPPESSeptember 14, 2023
Certification dateSeptember 14, 2023

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