Individual provider Active NPI

Devon Testa, LCSW

  • Clinical Social Worker
  • Woodbury, NY
National Provider Identifier
1326496209
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
093060 Issued in NY
Practice address
136 Woodbury Rd
Woodbury, NY 11797-1411
Phone
(516) 306-2942
NPI assigned
Jun 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 093060 NY Primary

Addresses

Primary practice location

136 Woodbury Rd
Woodbury, NY 11797-1411

Mailing address

506 Stewart Ave
Garden City, NY 11530-4706
Phone (516) 705-3400

Other practice location 1

506 Stewart Ave
Garden City, NY 11530-4706
Phone (516) 705-3400 ext. 3250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
093060NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1326496209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 STEWART AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304706",
            "telephone_number": "516-705-3400",
            "fax_number": "516-705-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 WOODBURY RD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971411",
            "telephone_number": "516-306-2942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 Stewart Ave",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115304706",
            "country_code": "US",
            "telephone_number": "516-705-3400 x3250",
            "fax_number": "516-705-3418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TESTA",
        "first_name": "DEVON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.