Individual provider Active NPI

Anita D. Devine, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1265620058
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R078219-01 Issued in NY
Practice address
420 W Durham St
Philadelphia, PA 19119-2910
Phone
(607) 793-3647
NPI assigned
Oct 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R078219-01 NY Primary
Clinical Social Worker 1041C0700X 44SC06271800 NJ
Clinical Social Worker 1041C0700X CW023793 PA

Addresses

Primary practice location

420 W Durham St
Philadelphia, PA 19119-2910

Mailing address

420 W Durham St
Philadelphia, PA 19119-2910
Phone (607) 793-3647

Other practice location 1

1260 Old York Rd
Warminster, PA 18974-2013
Phone (215) 293-0743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231011001046 PA Practitioner - Clinical Social Worker 8426209198 Practice locations: Philadelphia, PA
I20231103001507 NJ Practitioner - Clinical Social Worker 8426209198 Practice locations: Haddonfield, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

420 W Durham St
Philadelphia, PA 19119-2910
Phone (607) 793-3647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
075607-1NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anita Devine Mental Health CurrentSince Sep 1, 2023 Accepting new patients

Organizations & group practices 1

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": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1265620058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W DURHAM ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192910",
            "telephone_number": "607-793-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W DURHAM ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192910",
            "telephone_number": "607-793-3647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Warminster",
            "state": "PA",
            "postal_code": "189742013",
            "country_code": "US",
            "telephone_number": "215-293-0743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "ANITA",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R078219-01",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06271800",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023793",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.