Devon E Unruh, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C016735 Issued in NC

Practice address

718 Silo Park Drive
Wake Forest, NC 27587-3574

Phone

(910) 783-4775

NPI assigned

Feb 11, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Devon E Nowicki Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1982236618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 SILO PARK DRIVE",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873574",
            "telephone_number": "910-783-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 SILO PARK DRIVE",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873574",
            "telephone_number": "910-783-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNRUH",
        "first_name": "DEVON",
        "middle_name": "E",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013742",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEVON",
            "last_name": "NOWICKI",
            "middle_name": "E",
            "credential": "MSW, LCSWA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tyler M. Davis DDS PA
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• Ezekiel Ugwu
• Amanda Umberger, MA, CCC/SLP
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• Kevin Comer Upton, DDS
• Gail F Urbanek, RPH
• Urgent Cares of America North Carolina Inc
• Urgent Cares of America North Carolina Inc
• Urology Care, PA

• Clinical Social Worker in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.