Active NPI
Jean S Devlin, LMSW
- Social Worker
- Saratoga Springs, NY
National Provider Identifier
1053601658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 064778-1
- Practice address
- 211 Church St
Cramer House
Saratoga Springs, NY 12866-1003 - Phone
- (518) 584-9030
- Fax
- (518) 581-1709
- NPI assigned
- Apr 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 064778-1 | NY | Primary |
Addresses
Primary practice location
211 Church St
Cramer House
Saratoga Springs, NY 12866-1003
Mailing address
211 Church St
Cramer House
Saratoga Springs, NY 12866-1003
Phone (518) 584-9030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
135 S Broadway
Saratoga Springs, NY 12866-4532
Phone 51858490301051
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064778-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saratoga County | Current | Accepting new patients | |
| Saratoga County | Current | Accepting new patients |
Locations
135 S Broadway
Saratoga Springs, NY 12866
Phone (518) 584-9030
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Saratoga Springs, NY
- NPI 1700912367
-
- Home Health Agency
- Saratoga Springs, NY
- NPI 1497752158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302825600000",
"number": "1053601658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 CHURCH ST",
"address_2": "CRAMER HOUSE",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128661003",
"telephone_number": "518-584-9030",
"fax_number": "518-581-1709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 CHURCH ST",
"address_2": "CRAMER HOUSE",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128661003",
"telephone_number": "518-584-9030",
"fax_number": "518-581-1709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVLIN",
"first_name": "JEAN",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-15",
"last_updated": "2011-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "064778-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.