Edward P Devaney, LCSWR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

2814 S US Highway 1 Ste D4
Fort Pierce, FL 34982-8110

Phone

(772) 489-4726

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Clinical Social Worker

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Change of Mind LLCGroup PAC ID 4284971672, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Change of Mind LLC

  • Mental Health Counselor
  • Port St Lucie, FL
  • NPI 1811443195
  Medicare reassignment Care Compare group NPD
• Suncoast Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Fort Pierce, FL
  • NPI 1225046550
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1558428169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 SOUTH U.S. HWY 1 SUITE D4",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349820273",
            "telephone_number": "772-489-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 S US HIGHWAY 1 STE D4",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349828110",
            "telephone_number": "772-489-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVANEY",
        "first_name": "EDWARD",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Desmond, BSN
• Jude Desormeau, M.D.
• Nancy Dessources
• Destiny Therapeutic Services LLC
• Garry Desulme, ARNP
• Devine Senior Care, Inc.
• Diagnostic Radiology Center of the Treasure Coast (Ajay K Goyal MD PA)
• Beth Ann Dial, PHARMD
• Deborah Diamond, PSYS
• Catalina Diaz-Cardenas

• Clinical Social Worker in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.