Individual provider Active NPI

Devon Chisholm Willock, LCSW

  • Clinical Social Worker
  • Soledad, CA
National Provider Identifier
1710141692
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW24010 Issued in CA
Practice address
31625 Highway 101 S
Soledad, CA 93960-9529
Phone
(831) 678-5500
NPI assigned
Jul 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW24010 CA Primary

Addresses

Primary practice location

31625 Highway 101 S
Soledad, CA 93960-9529

Mailing address

1455 Cougar Dr
Salinas, CA 93905-4705
Phone (831) 252-4464

Other names 1

  • Devon Corpus Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251029001625 CA Practitioner - Clinical Social Worker 2668961723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1006 Crespi Way
Salinas, CA 93901-1845

PO Box
Los Angeles, CA 90088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW24010CAMDClinical Social Worker
24010CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pain Management Medical Group, Inc. CurrentSince Aug 15, 2025 Accepting new patients

Locations

4400 Capitola Rd
Ste 200
Capitola, CA 95010
Phone (831) 426-9302

905 N Main St
Salinas, CA 93906
Phone (831) 240-4040

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1710141692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 COUGAR DR",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939054705",
            "telephone_number": "831-252-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31625 HIGHWAY 101 S",
            "city": "SOLEDAD",
            "state": "CA",
            "postal_code": "939609529",
            "telephone_number": "831-678-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLOCK",
        "first_name": "DEVON",
        "middle_name": "CHISHOLM",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW24010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEVON",
            "last_name": "CORPUS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Soledad, CA

Sources for this page

Verify at the official NPI Registry.