Melissa E Devine, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

072030 Issued in NY

Practice address

46 E Main St
Cambridge, NY 12816-1225

Phone

(518) 810-7989

Fax

(866) 931-5525

NPI assigned

Apr 15, 2020

Last updated

Apr 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1700405057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510",
            "city": "CAMBRIDGE",
            "state": "NY",
            "postal_code": "128160510",
            "telephone_number": "518-810-7989",
            "fax_number": "866-931-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 E MAIN ST",
            "city": "CAMBRIDGE",
            "state": "NY",
            "postal_code": "128161225",
            "telephone_number": "518-810-7989",
            "fax_number": "866-931-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "MELISSA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "8669315525",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "46 E Main St",
            "city": "Cambridge",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128161225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susan Vincent Cox, MSW, MA
• Jessica Blythe Crane, PA
• Wendy D'Avella
• Gayle B Depan-Cartier, P.A.
• Ella Ruth Derbyshire, MD
• Edward Stephen Dick, LCSW
• Bree Elizabeth Franklin
• Howard A Freed, MD
• Jane Marie Frisch, RN
• Glens Falls Hospital Inc

• Clinical Social Worker in Cambridge, NY
• Providers in Cambridge, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.