Healthcare Provider Details

I. General information

NPI: 1942059860
Provider Name (Legal Business Name): DE'AYNE B SCAIFE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2024
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 PIERCE ST
GARY IN
46408-1654
US

IV. Provider business mailing address

3600 PIERCE ST
GARY IN
46408-1654
US

V. Phone/Fax

Practice location:
  • Phone: 219-779-0786
  • Fax:
Mailing address:
  • Phone: 219-779-0786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number150.112299
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: