Individual provider Active NPI

Kayla A Devito, MSW, LCSW

  • Clinical Social Worker
  • Bloomington, IN
National Provider Identifier
1124503289
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34009361A Issued in IN
Practice address
333 E Miller Dr
Bloomington, IN 47401-6557
Phone
(812) 353-3234
NPI assigned
Sep 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33008618A
Clinical Social Worker 1041C0700X 34009361A IN Primary

Addresses

Primary practice location

333 E Miller Dr
Bloomington, IN 47401-6557

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

1141 16th St
Bedford, IN 47421-3721
Phone (812) 670-5463

Other identifiers 2

IdentifierTypeStateIssuer
940110070OtherINMEDICARE PTAN
300064390MedicaidIN

Other names 1

  • Kayla A Maloian Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kdevito@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220614000803 IN Practitioner - Clinical Social Worker 4880073311 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34009361AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC Clinical CurrentSince Jan 1, 2026 Accepting new patients
Indiana University Health Bloomington Inc Clinical CurrentSince Apr 18, 2022 Accepting new patients
Indiana University Health Bloomington Inc CurrentSince Apr 18, 2022 Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC CurrentSince Jul 1, 2023 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

7987 Solution Ctr
Chicago, IL 60677

333 E Miller Dr
Bloomington, IN 47401
Phone (812) 353-3104

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

714 N Senate Ave
Ste 130
Indianapolis, IN 46202
Phone (317) 963-5582

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1124503289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E MILLER DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474016557",
            "telephone_number": "812-353-3234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1141 16th St",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "IN",
            "postal_code": "474213721",
            "country_code": "US",
            "telephone_number": "812-670-5463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVITO",
        "first_name": "KAYLA",
        "middle_name": "A",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": "33008618A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009361A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "940110070",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300064390",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdevito@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "333 E Miller Dr",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474016557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "MALOIAN",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.