George C. Devlin, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113176 Issued in MA

Practice address

70 Main St
Taunton, MA 02780-2778

Phone

(508) 821-7777

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• SB Transitional Sub, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brockton, MA
  • NPI 1962091173
  NPD (past)
• South Bay Mental Health Center, Inc.

  dba South Bay Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brockton, MA
  • NPI 1023096864
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679600985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 WHITE OAK WAY",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027606428",
            "telephone_number": "508-643-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MAIN ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802778",
            "telephone_number": "508-821-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVLIN",
        "first_name": "GEORGE",
        "middle_name": "C.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS RI",
            "identifier": "31133-1",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309161",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Kate Desousa
• Sophia Desousa
• Kristy Lee Desouza, B.S.
• Denise Marguerite Desrosiers, OTR/L
• Catherine Marie Devine, CEIS
• Elizabeth Devolve
• Theresa Dextraze, RPH
• Nicole Dezan, M.S.
• Muttaqi Dhulkifl
• Aleksander Diarbian

• Clinical Social Worker in Taunton, MA
• Providers in Taunton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.