Active NPI
Peter Devlin, LGSW/LMSW
- Social Worker
- Greenbelt, MD
National Provider Identifier
1356907844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 6305 Ivy LN Ste 101
Greenbelt, MD 20770-6326 - Phone
- (301) 235-0060
- NPI assigned
- May 10, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
6305 Ivy LN Ste 101
Greenbelt, MD 20770-6326
Mailing address
907 Wabash Ave Apt 6
Silver Spring, MD 20912-6775
Phone (718) 285-1731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22714 | Other | MD | LGSW |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1356907844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 WABASH AVE APT 6",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209126775",
"telephone_number": "718-285-1731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6305 IVY LN STE 101",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207706326",
"telephone_number": "301-235-0060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVLIN",
"first_name": "PETER",
"credential": "LGSW/LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-10",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LGSW",
"identifier": "22714",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenbelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.