Patrick Brian Devlin Jr., LCSW, CADC II

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L6742 Issued in OR

Practice address

731 NW Franklin Ave
Bend, OR 97703-2752

Phone

(541) 306-1128

NPI assigned

Aug 24, 2017

Last updated

Aug 30, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504051200000",
    "number": "1316464910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10258 WAGNER CREEK RD",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975407807",
            "telephone_number": "972-741-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 NW FRANKLIN AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032752",
            "telephone_number": "541-306-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVLIN",
        "first_name": "PATRICK",
        "middle_name": "BRIAN",
        "name_suffix": "Jr.",
        "credential": "LCSW, CADC II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-24",
        "last_updated": "2017-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "12-03-57",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Anne Deskin
• Brian Patrick Desmond, MD
• Theresa M Desouza, CADCII, QHMA-I
• Destination Rehab
• Glenn Walter Deveney, CADC I
• Robyn Anne Devoll
• Shauna Devore
• Kelly Devries
• Jill Marie Dewey, SLP
• Alexis Nicole Dewid

• Clinical Social Worker in Bend, OR
• Providers in Bend, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.