Individual provider Active NPI

Sophia Marie Devito, LMSW

  • Social Worker
  • Albany, NY
National Provider Identifier
1669019691
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
P103553 Issued in NY
Practice address
62 Hollywood Ave Apt 2
Albany, NY 12208-2707
Phone
(518) 542-5952
NPI assigned
Dec 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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 P103553 NY Primary
Social Worker 104100000X 109081-01 NY

Addresses

Primary practice location

62 Hollywood Ave Apt 2
Albany, NY 12208-2707

Mailing address

62 Hollywood Ave Apt 2
Albany, NY 12208-2707
Phone (518) 542-5952

Other practice location 1

60 Academy Rd
Albany, NY 12208-3198
Phone (518) 426-2716

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
109081-01NYMDSocial Worker
P103553NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1669019691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 HOLLYWOOD AVE APT 2",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122082707",
            "telephone_number": "518-542-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 HOLLYWOOD AVE APT 2",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122082707",
            "telephone_number": "518-542-5952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Academy Rd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083198",
            "country_code": "US",
            "telephone_number": "518-426-2716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVITO",
        "first_name": "SOPHIA",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "P103553",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "109081-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.