Healthcare Provider Details

I. General information

NPI: 1073758629
Provider Name (Legal Business Name): DEIRDRE J DEVLIN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2008
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7735 EL CAMINO REAL
ATASCADERO CA
93422-4673
US

IV. Provider business mailing address

7735 EL CAMINO REAL
ATASCADERO CA
93422-4673
US

V. Phone/Fax

Practice location:
  • Phone: 805-440-2799
  • Fax:
Mailing address:
  • Phone: 805-440-2799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number61443
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: