Individual provider Active NPI

Rachel Witt Devery, LCSW

  • Clinical Social Worker
  • Lawrenceville, GA
National Provider Identifier
1396488201
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW009069 Issued in GA
Practice address
1492 Sir Knights Way
Lawrenceville, GA 30045-5147
Phone
(404) 850-0815
NPI assigned
Apr 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW009565 GA
Clinical Social Worker 1041C0700X CSW009069 GA Primary

Addresses

Primary practice location

1492 Sir Knights Way
Lawrenceville, GA 30045-5147

Mailing address

1878 Weston LN
Tucker, GA 30084-5500
Phone (404) 850-0815

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://theranest.com/ Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MSW009565GAMDSocial Worker
CSW009069GAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1396488201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1878 WESTON LN",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845500",
            "telephone_number": "404-850-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 SIR KNIGHTS WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300455147",
            "telephone_number": "404-850-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVERY",
        "first_name": "RACHEL",
        "middle_name": "WITT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW009565",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW009069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://theranest.com/",
            "affiliation": "N",
            "endpointDescription": "online HIPAA compliant therapy platform to practice therapy with clients",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1924 Bramlet Ct",
            "city": "Tucker",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300846401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.