Individual provider Active NPI

Leslie Devine

  • Clinical Social Worker
  • Cottonwood, AZ
National Provider Identifier
1760228225
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW22386 Issued in AZ
Practice address
8 E Cottonwood St
Cottonwood, AZ 86326-4382
Phone
(877) 634-7333
NPI assigned
Jul 3, 2024
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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 LCSW22386 AZ Primary

Addresses

Primary practice location

8 E Cottonwood St
Cottonwood, AZ 86326-4382

Mailing address

PO Box 38
Rimrock, AZ 86335-0038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240801004553 AZ Practitioner - Clinical Social Worker 1254878705 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sea Glass Mental Health Inc.Group PAC ID 0547643959, 3 clinicians

Practice addresses (Care Compare)

Scottsdale, AZ 85251
Phone (480) 256-2605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW22386AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Canyonlands Community Health Care CurrentSince Oct 14, 2025 Accepting new patients
Sea Glass Mental Health Inc Mental Health CurrentSince Feb 9, 2026 Accepting new patients
Canyonlands Community Health Care CurrentSince Oct 14, 2025 Accepting new patients
Spectrum Healthcare Group, Inc. Mental Health CurrentSince Jun 1, 2024 Accepting new patients
Canyonlands Community Health Care Current Accepting new patients
Spectrum Healthcare Group, Inc. Mental Health Current Accepting new patients
Spectrum Healthcare Group, Inc Mental Health CurrentSince Jun 1, 2024 Accepting new patients

Locations

651 W Mingus Ave
Cottonwood, AZ 86326
Phone (928) 203-5425

8 E Cottonwood St
Cottonwood, AZ 86326
Phone (877) 637-7333

8 E Cottonwood St
Bldg A
Cottonwood, AZ 86326
Phone (928) 203-5404

4494 W Peoria Ave
Ste 115A
Glendale, AZ 85302
Phone (480) 876-4013

3272 E Rio Virgin Rd
Littlefield, AZ 86432
Phone (928) 347-5971

1615 S 1st Ave
Safford, AZ 85546
Phone (928) 348-1701

7420 E Camelback Rd
Ste 101
Scottsdale, AZ 85251
Phone (480) 256-2605

1200 N Country Club Rd
Tucson, AZ 85716
Phone (520) 770-1197

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: leslie.devine.p1@direct.canyonlands.nextgenshare.com
  • Direct secure messaging: leslie.devine.p1@direct.spectrumhg.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1760228225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "RIMROCK",
            "state": "AZ",
            "postal_code": "863350038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 E COTTONWOOD ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264382",
            "telephone_number": "877-634-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "LESLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW22386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

Verify at the official NPI Registry.