Individual provider Active NPI

Sue Ann Devall, LCSW

  • Social Worker
  • Shepherdstown, WV
National Provider Identifier
1972731503
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
BP00943391 Issued in WV
Practice address
4781 Kearneysville Pike
Shepherdstown, WV 25443-4666
Phone
(304) 876-3500
NPI assigned
Jun 22, 2009
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X BP00943391 WV Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

4781 Kearneysville Pike
Shepherdstown, WV 25443-4666

Mailing address

1149 Ridge Rd N
Hedgesville, WV 25427-4993
Phone (304) 620-7036

Other practice location 1

1149 Ridge Rd N
Hedgesville, WV 25427-4993
Phone (304) 620-7036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20260218003799 WV Practitioner - Mental Health Counselor 7315093689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
West Virginia University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Potomac Crossroads Counseling, LLCGroup PAC ID 1456877380, 6 clinicians

Practice addresses (Care Compare)

4781 Kearneysville Pike
Shepherdstown, WV 25443-4666
Phone (304) 876-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BP00943391WVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Potomac Crossroads Counseling, LLC CurrentSince Feb 9, 2026 Accepting new patients
Eastern Panhandle Mental Health Center (Group) Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: suedevall@tdh.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1972731503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 RIDGE RD N",
            "city": "HEDGESVILLE",
            "state": "WV",
            "postal_code": "254274993",
            "telephone_number": "304-620-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4781 KEARNEYSVILLE PIKE",
            "city": "SHEPHERDSTOWN",
            "state": "WV",
            "postal_code": "254434666",
            "telephone_number": "304-876-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1149 Ridge Rd N",
            "address_purpose": "LOCATION",
            "city": "Hedgesville",
            "state": "WV",
            "postal_code": "254274993",
            "country_code": "US",
            "telephone_number": "304-620-7036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVALL",
        "first_name": "SUE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00943391",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shepherdstown, WV

Sources for this page

Verify at the official NPI Registry.