MEDICARE: MELISSA DEVOLVE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1275404956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA DEVOLVE

Provider Business Mailing Address
First Line	:	46 LUCY AVE
Second Line	:
City	:	TIVERTON
State	:	RI
Zip	:	02878-3922
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	269 GREENVILLE AVE UNIT E
Second Line	:
City	:	JOHNSTON
State	:	RI
Zip	:	02919-2656
Country	:	US
Telephone Number	:	401-777-7924
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2025
Last Update Date	:	03/12/2026

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Directions to “ MELISSA DEVOLVE ” Practice Location

Language	Start Address	Practice Location

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