Linda A. V. Devincent, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW02148 Issued in RI

Practice address

78 Baker St
Providence, RI 02905-4417

Phone

(401) 781-2400

Fax

(401) 781-2687

NPI assigned

Sep 3, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in RI

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Coastal Medical Physicians, Inc.

  dba Brown Health Medical Group Primary Care

  • Internal Medicine Physician
  • Providence, RI
  • NPI 1780273540

  Clinical

  Medicare reassignment NPD
• Coastal Medical Physicians, Inc.

  dba Brown Health Medical Group Primary Care

  • Internal Medicine Physician
  • Riverside, RI
  • NPI 1093678104

  Clinical

  NPD

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1881842813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 BAKER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054417",
            "telephone_number": "401-781-2400",
            "fax_number": "401-781-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 BAKER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054417",
            "telephone_number": "401-781-2400",
            "fax_number": "401-781-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINCENT",
        "first_name": "LINDA",
        "middle_name": "A. V.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "ISW02148",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldevincent221081@direct.lifespan.org",
            "affiliation": "N",
            "address_1": "78 Baker St",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029054417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Detrisac, M.D.
• Stephan D Deutsch, MD
• Daniella Amber Devaney
• Jean L. Devera, MD
• Jerilyn A Devin, NP
• Gabriella Devincenzis
• Lisa Ann Devine-Keenan, M.S.P.T.
• Ashok Raj Devkota, MD
• Pratichhya Devkota
• Christopher Curran Dewey, PSY.D.

• Clinical Social Worker in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.