Devon Fahey, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7520 Issued in KY

Practice address

645 S Roy Wilkins Ave Ste 100
Louisville, KY 40203-2072

Phone

(502) 583-4092

Fax

(502) 371-6110

NPI assigned

May 17, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Devon Turley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cleanse Clinic, PLLC

  • Addiction Psychiatry Physician
  • Louisville, KY
  • NPI 1659726628
  NPD

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1932636305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 NEWBURG RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051803",
            "telephone_number": "502-601-7085",
            "fax_number": "502-479-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 S ROY WILKINS AVE STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032072",
            "telephone_number": "502-583-4092",
            "fax_number": "502-371-6110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2322 Hawthorne Ave",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402052621",
            "country_code": "US",
            "telephone_number": "502-601-7085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAHEY",
        "first_name": "DEVON",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-17",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "KY",
            "license": "7520",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "7520",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "257865",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEVON",
            "last_name": "TURLEY",
            "credential": "CSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel A. Fadel, DMD
• Jeffrey Nagy Fadel, MD
• Ronald J Fadel, M.D.
• Lauren Fader, M.D.
• Kelvin Fadojutimi
• Elizabeth Grilliot Fahey, PA-C
• James Emmet Fahey III, PSY.D.
• Kimberly Fahey
• Gabrielle Fahrenholz, DPT
• Ibrahim Fahsah, MD

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.