Devon Roller
Individual provider Active NPI Clinical Social Worker · Woodford, VT
NPI 1770907164 · NPPES record last updated Jun 27, 2025
Key facts
- NPI
- 1770907164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 096759 (NY)
- Practice address
- 149 Hillside Rd
Woodford, VT 05201-9484 - Phone
- (413) 281-7721
- NPI assigned
- Feb 6, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096759 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 096759 | NY | Yes |
Addresses
Primary practice location
149 Hillside Rd
Woodford, VT 05201-9484
Mailing address
149 Hillside Rd
Woodford, VT 05201-9484
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1300881 | Medicaid | MA |
Other providers in Woodford, VT
All providers in Woodford, VT · Clinical Social Worker in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.