Iman Devonish, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

10661 Issued in CT

Practice address

71 W Dudley Town Rd
Bloomfield, CT 06002-5308

Phone

(860) 888-3518

NPI assigned

Dec 13, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cambridge Mental Health, LLC

  • Clinical Social Worker
  • Bloomfield, CT
  • NPI 1336639442
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1043027022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 E EUCLID ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061121229",
            "telephone_number": "860-985-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 W DUDLEY TOWN RD",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060025308",
            "telephone_number": "860-888-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVONISH",
        "first_name": "IMAN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "10661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy-Ann Dennis, MD
• Desert Light Health Associates
• Dominick Edward Deslauriers, PT
• Debbie-Ann Devito
• Sarah E Devito, BS
• Linda Diggins-Domina, RN
• Jenna L Digirolamo, DPT
• Kevin Dinowitz, M.D.
• Deanna J Dixon, BCBA
• Merva E Dixon, APRN

• Social Worker in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.