Deborah Jane Devlin, LSW, LPCC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S.0017293

Practice address

246 Northland Dr
Medina, OH 44256-3441

Phone

(330) 725-9195

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1710069976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 HUNT CLUB DR",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "443212735",
            "telephone_number": "330-212-4876",
            "fax_number": "330-633-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 NORTHLAND DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563441",
            "telephone_number": "330-725-9195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Northwest Ave",
            "address_purpose": "LOCATION",
            "city": "Tallmadge",
            "state": "OH",
            "postal_code": "442781808",
            "country_code": "US",
            "telephone_number": "330-633-4187",
            "fax_number": "330-633-4294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVLIN",
        "first_name": "DEBORAH",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "LSW, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0004001",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "S.0017293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0283184",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kriszti R Derga
• Dermatologic Surgery Center of Northeast Ohio Inc
• Lisa Webb Derrick, M.D.
• Deborah Daline Detmayer
• Kate Deville, PT, DPT
• Kari Devore
• Krystal Devore, LISW-S
• Rose Barnes Dickerhoof, O.D.
• Wendy Dietrich, RPH
• Erin Dietzel

• Clinical Social Worker in Medina, OH
• Providers in Medina, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.