Sara Deaterla, is a
Social Worker based in Jackson, Ohio. Sara Deaterla is licensed to practice in * (Not Available) (license number ) and her current practice location is
77 Russ Rd, Jackson, Ohio. She can be reached at her office (for appointments etc.) via phone at
(740) 395-3097.
NPI number for Sara Deaterla is 1881398337 and her current mailing address is 221 W Emmitt Ave # 1, Waverly, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881398337.
Healthcare Provider's Profile
| Full Name | Sara Deaterla |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 77 Russ Rd, Jackson, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881398337
- Provider Enumeration Date: 03/29/2023
- Last Update Date: 08/04/2025
Medical Identifiers
Medical identifiers for Sara Deaterla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881398337 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sara Deaterla is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sara Deaterla,
221 W Emmitt Ave # 1,
Waverly, OH 45690-1005
Ph: (740) 835-4054 | Sara Deaterla,
77 Russ Rd,
Jackson, OH 45640-9651
Ph: (740) 395-3097 |
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