Individual provider Active NPI

Jenna Fay Devore, MSW

  • Clinical Social Worker
  • Honolulu, HI
National Provider Identifier
1871265892
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-5334-0 Issued in HI
Practice address
1441 Kapiolani Blvd Ste 1114
Honolulu, HI 96814-4406
Phone
(808) 850-0407
NPI assigned
Sep 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0906011629 VA
Clinical Social Worker 1041C0700X LCSW-5334-0 HI Primary
Clinical Social Worker 1041C0700X 3892 FL

Addresses

Primary practice location

1441 Kapiolani Blvd Ste 1114
Honolulu, HI 96814-4406

Mailing address

87-153 Kimo St
Waianae, HI 96792-3141
Phone (808) 850-0407

Other practice location 1

144 Church St NW Ste 205
Vienna, VA 22180-4550
Phone (703) 622-8378

Other names 1

  • Jenna Fay Brocious Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0906011629VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Therapy, LLC Clinical Current Accepting new patients
Family & Child Therapy LLC CurrentSince Oct 5, 2021 Accepting new patients

Locations

144 Church St NW
Ste 205
Vienna, VA 22180
Phone (571) 261-7764

Organizations & group practices 2

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": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1871265892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87-153 KIMO ST",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923141",
            "telephone_number": "808-850-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 1114",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144406",
            "telephone_number": "808-850-0407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 Church St NW Ste 205",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221804550",
            "country_code": "US",
            "telephone_number": "703-622-8378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVORE",
        "first_name": "JENNA",
        "middle_name": "FAY",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0906011629",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-5334-0",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "3892",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "BROCIOUS",
            "middle_name": "FAY",
            "credential": "N/A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.