Active NPI
Todd Devries, MSW
- Social Worker
- Idaho Falls, ID
National Provider Identifier
1881183499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW-37330
- Practice address
- 211 S Woodruff Ave Ste a
Idaho Falls, ID 83401-4369 - Phone
- (208) 524-4818
- NPI assigned
- May 9, 2018
- Last updated
- May 9, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-37330 | ID | Primary |
Addresses
Primary practice location
211 S Woodruff Ave Ste a
Idaho Falls, ID 83401-4369
Mailing address
440 Highland Dr
Idaho Falls, ID 83402-2726
Phone (208) 847-5996
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-37330 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willow Sage Services LLC | Social Worker | Past | Accepting new patients |
| Answers, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Mental Health Clinic/Center
- Idaho Falls, ID
- NPI 1750705687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525824000000",
"number": "1881183499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 HIGHLAND DR",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834022726",
"telephone_number": "208-847-5996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 S WOODRUFF AVE STE A",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834014369",
"telephone_number": "208-524-4818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVRIES",
"first_name": "TODD",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-09",
"last_updated": "2018-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW-37330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.