Active NPI
Sara Rochelle Devaney, LCSW
- Clinical Social Worker
- Salem, OR
National Provider Identifier
1346484391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L4600
- Practice address
- 5125 Skyline Rd S
Salem, OR 97306-9427 - Phone
- (503) 588-5993
- NPI assigned
- Apr 21, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L4600 | OR | Primary |
Addresses
Primary practice location
5125 Skyline Rd S
Salem, OR 97306-9427
Mailing address
1439 Lazy Creek CT NE
Keizer, OR 97303-7805
Phone (541) 554-1567
Other practice location 1
11211 SE 82nd Ave
Suite O
Happy Valley, OR 97086
Phone (503) 722-6200
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sara.r.devaney@kp.org | Direct | |
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Clackamas Office of County Auditor | Past | Accepting new patients | |
| County of Polk | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Happy Valley, OR
- NPI 1801142781
-
- State or Local Public Health Clinic/Center
- Dallas, OR
- NPI 1710910781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1346484391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1439 LAZY CREEK CT NE",
"city": "KEIZER",
"state": "OR",
"postal_code": "973037805",
"telephone_number": "541-554-1567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5125 SKYLINE RD S",
"city": "SALEM",
"state": "OR",
"postal_code": "973069427",
"telephone_number": "503-588-5993"
}
],
"practiceLocations": [
{
"address_1": "11211 SE 82nd Ave",
"address_2": "Suite O",
"address_purpose": "LOCATION",
"city": "Happy Valley",
"state": "OR",
"postal_code": "97086",
"country_code": "US",
"telephone_number": "503-722-6200",
"fax_number": "503-722-6545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEVANEY",
"first_name": "SARA",
"middle_name": "ROCHELLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-21",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L4600",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sara.r.devaney@kp.org",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "5125 Skyline Rd S",
"city": "Salem",
"state": "OR",
"country_code": "US",
"postal_code": "973069427",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "5125 Skyline Rd S",
"city": "Salem",
"state": "OR",
"country_code": "US",
"postal_code": "973069427",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.