Diane Devore, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS20661 Issued in CA

Practice address

1767 Grand Ave
Suite 4
San Diego, CA 92109-4400

Phone

(858) 444-7126

Fax

(858) 273-9410

NPI assigned

Aug 25, 2008

Last updated

Aug 25, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

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

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beach Psychotherapy

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1104051804
  NPD (past)

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219622400000",
    "number": "1316194046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 GRAND AVE",
            "address_2": "SUITE 4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094400",
            "telephone_number": "858-444-7126",
            "fax_number": "858-273-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 GRAND AVE",
            "address_2": "SUITE 4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094400",
            "telephone_number": "858-444-7126",
            "fax_number": "858-273-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVORE",
        "first_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2008-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS20661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Devogelaere
• Susan Devol, M.A.S., A.T.,C.
• Devonshire Healthcare, Inc. (Golden Hill Post Acute)
• William N. Devor, MD
• Benjamin B Devore
• Lynn A Devorkin
• Katherine Devos
• Devoss - Deboskey Partnership (Psychology and Behavioral Pain Services)
• Devoss Psychology, Inc
• Gary Devoss, PH.D.

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.

Verify at the official NPI Registry.