Devi Sophia Wise, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW101454 Issued in CA

Practice address

12625 Frederick St Ste I5-133
Moreno Valley, CA 92553-5216

Phone

(909) 225-6920

NPI assigned

Jun 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Wise Counseling Services, LLC

  • Clinical Social Worker
  • Perris, CA
  • NPI 1316679723
  NPD Authorized official
• Rosemary Children'S Services

  • Community/Behavioral Health Agency
  • Pomona, CA
  • NPI 1376993998
  NPD (past)

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1457880320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12625 FREDERICK ST STE I5-133",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535216",
            "telephone_number": "909-225-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12625 FREDERICK ST STE I5-133",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535216",
            "telephone_number": "909-225-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "DEVI",
        "middle_name": "SOPHIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW81804",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW101454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Sadewater Wilson
• Wuri Trihastuti Wimboprasetyo, RCP
• Ryan Windemuth, M.D
• Darlene Delia Denise Winston, AMFT
• Donna Grace Wirth
• Wisr Ministries Inc.
• Amir Wissa
• Sarath C Witana, M.D.
• Robert Ray Witty, PA-C
• Gunnar Wolfe, MD

• Clinical Social Worker in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.

Verify at the official NPI Registry.