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Sara Deaterla

Social Worker β€’ Jackson, OH

Active NPI 1881398337 Individual Practitioner Female Practitioner
Practice location in NPPES

77 Russ Rd
Jackson, OH 456409651

Call 7403953097 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

77 Russ Rd

Jackson, OH 456409651

Telephone 7403953097

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jackson and Ohio

11 active clinicians are listed under Social Worker with a practice address in Jackson, OH (11,336 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jackson

0% of these 11 clinicians have the CMS telehealth indicator.

0% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-04
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Business Mailing Address August 04, 2025

Registered at 221 W EMMITT AVE # 1, WAVERLY, OH 456901005 (Tel: 7408354054)

βœ…
NPI Profile Active March 29, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 29, 2023

Registered at 77 RUSS RD, JACKSON, OH 456409651 (Tel: 7403953097)

πŸ“
Business Mailing Address (Initial Record) March 29, 2023

Registered at 400 E STATE ST STE D, ATHENS, OH 457011870 (Tel: 7403266110)

πŸ‘€
Provider Name / Credentials (Initial Record) March 29, 2023

Recorded as SARA DEATERLA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2023

Counselor

🟒
Initial NPI Registration & Enumeration March 29, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1881398337
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2023
Last Update: August 04, 2025
Sole Proprietor: Yes

Mailing Address

221 W Emmitt Ave # 1

Waverly, OH 456901005

Phone: 7408354054

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.