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SANDRA WALSH DEVINE LCSW NPI 1487756110


NPI Information

NPI: 1487756110
Provider Name: SANDRA WALSH DEVINE, LCSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
300 PROFESSIONAL CENTER DR
SUITE 322
NOVATO, CA
ZIP 94947
Phone: (415) 884-9003
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Sandra Walsh Devine, LCSW is a clinical social worker in Novato, CA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Sandra Walsh Devine, LCSW NPI is 1487756110. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 PROFESSIONAL CENTER DR
SUITE 322
NOVATO, CA
ZIP 94947-334
Phone: (415) 884-9003
Fax: (415) 884-9003

The enumeration date for this NPI number is 9/2/2006 and was last updated on 1/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalLCS 11548CALIFORNIANo
21041C0700XSocial WorkerClinicalLCS11548CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1R36985MEDICARE UPIN
2ZZZ32627ZMEDICARE ID-TYPE UNSPECIFIED
3LCS11548OTHERCALIFORNIABOARD OF BEHAV SCIENCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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