Devon Jacqueline Crisman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6941 Issued in TN

Practice address

482 Interstate Dr Ste D
Manchester, TN 37355-3409

Phone

(931) 444-1000

Fax

(931) 728-1229

NPI assigned

Jul 2, 2019

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: devoncrisman@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD
• Centerwell Health Services USA, LLC

  • Home Health Agency
  • Cookeville, TN
  • NPI 1215919899
  NPD (past)
• Coffee Associates a Medical Management Organization, LLC

  • Clinical Social Worker
  • Manchester, TN
  • NPI 1760926075
  NPD (past)

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1164084869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 INTERSTATE DR",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553485",
            "telephone_number": "931-444-1000",
            "fax_number": "931-728-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 INTERSTATE DR STE D",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553409",
            "telephone_number": "931-444-1000",
            "fax_number": "931-728-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISMAN",
        "first_name": "DEVON",
        "middle_name": "JACQUELINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lana Branum Cook, DC
• Thomas Daniel Cosby, DDS
• Brenna Cosminsky, PA
• County of Coffee Office of County Executive
• Cynthia Cox, LCSW
• Hanna Lovelady Cunningham, FNP
• William D Daniel, DO
• Cisley D Davidson, PHARM.D.
• Glenn Alan Davis, MD
• Rene Carlos Del Valle, MD

• Clinical Social Worker in Manchester, TN
• Providers in Manchester, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.