Active NPI
Devon Tyre Duker-Hanzer, MSW, LCSW,LCASA
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1124604236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C018265
- Practice address
- 3000 New Bern Ave
Raleigh, NC 27610-1231 - Phone
- (919) 350-7722
- Fax
- (919) 350-2995
- NPI assigned
- Mar 19, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-26933 | NC | |
| Clinical Social Worker | 1041C0700X | C018265 | NC | Primary |
| Clinical Social Worker | 1041C0700X | P015877 | NC |
Addresses
Primary practice location
3000 New Bern Ave
Raleigh, NC 27610-1231
Mailing address
PO Box 809977
Kansas City, MO 64180-9977
Phone (877) 498-4490
Other practice location 1
800 N Mangum St Ste 400
Durham, NC 27701-2260
Phone (919) 683-1607
Other names 1
- Devon Tyre Hanzer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Kansas City, MO 64180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-26933 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| C018265 | NC | MD | Clinical Social Worker |
| P015877 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wakemed | Current | Accepting new patients | |
| Wakemed | Clinical | Current | Accepting new patients |
| Baart Community Healthcare | Past | Accepting new patients |
Locations
1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
Organizations & group practices 3
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.
-
- Psychiatric Hospital Unit
- Raleigh, NC
- NPI 1780446302
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Durham, NC
- NPI 1376075556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766534400000",
"number": "1124604236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 809977",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641809977",
"telephone_number": "877-498-4490",
"fax_number": "919-350-7687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 NEW BERN AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101231",
"telephone_number": "919-350-7722",
"fax_number": "919-350-2995"
}
],
"practiceLocations": [
{
"address_1": "800 N Mangum St Ste 400",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277012260",
"country_code": "US",
"telephone_number": "919-683-1607",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUKER-HANZER",
"first_name": "DEVON",
"middle_name": "TYRE",
"credential": "MSW, LCSW,LCASA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-19",
"last_updated": "2025-12-24",
"certification_date": "2025-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-26933",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C018265",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P015877",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEVON",
"last_name": "HANZER",
"middle_name": "TYRE",
"credential": "MSW,LCSW,LCASA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; 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.