Individual provider Active NPI

Sandra Devoe, LCSW

  • Clinical Social Worker
  • Melbourne, FL
National Provider Identifier
1437561289
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW18640 Issued in FL
Practice address
981 E Eau Gallie Blvd Ste E #6000
Melbourne, FL 32937
Phone
(321) 270-8310
NPI assigned
May 28, 2014
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-13603 AZ
Clinical Social Worker 1041C0700X LCSW16876 AZ
Clinical Social Worker 1041C0700X SW18640 FL Primary

Addresses

Primary practice location

981 E Eau Gallie Blvd Ste E #6000
Melbourne, FL 32937

Mailing address

981 E Eau Gallie Blvd Ste E #6000
Melbourne, FL 32937
Phone (321) 270-8310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180718003783 AZ Practitioner - Clinical Social Worker 1153678339 Reassigns benefits to 1 organization
I20220710000071 FL Practitioner - Clinical Social Worker 1153678339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

981 E Eau Gallie Blvd
Suite E6000
Indian Harbour Beach, FL 32937-4907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-13603AZMDSocial Worker
LCSW16876AZMDClinical Social Worker
SW18640FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sandy Support Services LLC Clinical CurrentSince Jun 14, 2022 Accepting new patients
Jewish Family & Children's Service CurrentSince Sep 1, 2021 Accepting new patients
Jewish Family & Children's Service Current Accepting new patients

Locations

5701 W Talavi Blvd
Ste 180
Glendale, AZ 85306
Phone (623) 486-8082

4747 N 7th St
Ste 100
Phoenix, AZ 85014
Phone (602) 279-7655

2033 N 7th St
Phoenix, AZ 85006
Phone (602) 257-9314

981 E Eau Gallie Blvd
Ste E
Indian Harbour Beach, FL 32937
Phone (321) 270-8310

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1437561289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 E EAU GALLIE BLVD STE E #6000",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32937",
            "telephone_number": "321-270-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 E EAU GALLIE BLVD STE E #6000",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32937",
            "telephone_number": "321-270-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVOE",
        "first_name": "SANDRA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2023-06-21",
        "certification_date": "2022-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-13603",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW16876",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.