Active NPI
Carly Devlin, LCSW
- Social Worker
- Oakland, CA
National Provider Identifier
1669805412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 401 Roland Way Ste 150
Oakland, CA 94621-2027 - Phone
- (510) 746-2800
- NPI assigned
- Aug 15, 2013
- Last updated
- Jul 5, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | Primary |
Addresses
Primary practice location
401 Roland Way Ste 150
Oakland, CA 94621-2027
Mailing address
3923 Vale Ave
Oakland, CA 94619-2221
Phone (845) 721-8455
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1669805412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3923 VALE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946192221",
"telephone_number": "845-721-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 ROLAND WAY STE 150",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946212027",
"telephone_number": "510-746-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVLIN",
"first_name": "CARLY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-15",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.