Provider Demographics
NPI:1518618453
Name:DESHLER, JACOBY LYNNE (LMSW)
Entity Type:Individual
Prefix:
First Name:JACOBY
Middle Name:LYNNE
Last Name:DESHLER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 N VINE ST
Mailing Address - Street 2:
Mailing Address - City:AGENCY
Mailing Address - State:IA
Mailing Address - Zip Code:52530-9763
Mailing Address - Country:US
Mailing Address - Phone:641-799-7471
Mailing Address - Fax:
Practice Address - Street 1:1527 ALBIA RD
Practice Address - Street 2:
Practice Address - City:OTTUMWA
Practice Address - State:IA
Practice Address - Zip Code:52501-3907
Practice Address - Country:US
Practice Address - Phone:641-682-8772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker