Organization Active NPI

Devoted Transformations LLC

  • Clinical Social Worker
  • Wittmann, AZ
National Provider Identifier
1811768013
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DEVOTED TRANSFORMATIONS LLC
Practice address
24334 W Mark LN
Wittmann, AZ 85361-8706
Phone
(623) 696-5948
NPI assigned
Jan 16, 2024
Last updated
Jun 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Toni Lynn Watson, LCSWNPI 1043899883
Title
Owner
Phone
(623) 696-5948

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

24334 W Mark LN
Wittmann, AZ 85361-8706

Mailing address

24334 W Mark LN
Wittmann, AZ 85361-8706
Phone (623) 696-5948

Other practice location 1

15396 N 83rd Ave Ste C102
Peoria, AZ 85381-5627
Phone (623) 696-5948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240206002808 AZ Part B Supplier - Clinic/Group Practice 2466895503 Receives reassigned benefits from 1 practitioner
Practice locations: Peoria, AZ; Wittmann, AZ

National Provider Directory

National Provider Directory

Locations

15396 N 83rd Ave
Ste C102
Peoria, AZ 85381
Phone (602) 300-1508

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1811768013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24334 W MARK LN",
            "city": "WITTMANN",
            "state": "AZ",
            "postal_code": "853618706",
            "telephone_number": "623-696-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24334 W MARK LN",
            "city": "WITTMANN",
            "state": "AZ",
            "postal_code": "853618706",
            "telephone_number": "623-696-5948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15396 N 83rd Ave Ste C102",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853815627",
            "country_code": "US",
            "telephone_number": "623-696-5948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEVOTED TRANSFORMATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-696-5948",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wittmann, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.