Individual provider Active NPI

Devon Lane Noble, LISW

  • Clinical Social Worker
  • Westerville, OH
National Provider Identifier
1386797710
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0009932-SUPV Issued in OH
Practice address
700 Brooksedge Blvd
Westerville, OH 43081-3394
Phone
(614) 882-9338
Fax
(614) 882-3401
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X I0009932 OH
Clinical Social Worker 1041C0700X CW016888 PA
Clinical Social Worker 1041C0700X I.0009932-SUPV OH Primary

Addresses

Primary practice location

700 Brooksedge Blvd
Westerville, OH 43081-3394

Mailing address

700 Brooksedge Blvd
Westerville, OH 43081-3394
Phone (614) 882-9338

Other names 1

  • Ms. Devon Lane Tavani Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0009932OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1386797710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BROOKSEDGE BLVD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430813394",
            "telephone_number": "614-882-9338",
            "fax_number": "814-454-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BROOKSEDGE BLVD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430813394",
            "telephone_number": "614-882-9338",
            "fax_number": "614-882-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "DEVON",
        "middle_name": "LANE",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I0009932",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016888",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0009932-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEVON",
            "last_name": "TAVANI",
            "middle_name": "LANE",
            "prefix": "MS.",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.