Active NPI
Devon Stephenson
- Clinical Social Worker
- Gahanna, OH
National Provider Identifier
1891342259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.2304585
- Practice address
- 60 N Stygler Rd
Gahanna, OH 43230-2435 - Phone
- (614) 475-2014
- NPI assigned
- Aug 21, 2019
- Last updated
- Aug 4, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | ||
| Clinical Social Worker | 1041C0700X | I.2304585 | OH | Primary |
Addresses
Primary practice location
60 N Stygler Rd
Gahanna, OH 43230-2435
Mailing address
5550 Marshall Rd
Dayton, OH 45429-5919
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)
- Enrolled
Interoperability endpoints
- devon.stephenson.1@28621.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1891342259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5550 MARSHALL RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454295919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 N STYGLER RD",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432302435",
"telephone_number": "614-475-2014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "DEVON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-21",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.2304585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gahanna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.