Active NPI
Rachel Witt Devery, LCSW
- Clinical Social Worker
- Lawrenceville, GA
National Provider Identifier
1396488201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW009069
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MSW009565 | GA | MD | Social Worker |
| CSW009069 | GA | MD | Clinical 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.