Active NPI
Devon Lane Noble, LISW
- Clinical Social Worker
- Westerville, OH
National Provider Identifier
1386797710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.0009932-SUPV
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I0009932 | OH | MD | Mental 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.