Healthcare Provider Details

I. General information

NPI: 1629913181
Provider Name (Legal Business Name): DEBORAH ANN DEVLIN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2710 DEL PRADO BLVD S STE 2-142
CAPE CORAL FL
33904-5788
US

IV. Provider business mailing address

2710 DEL PRADO BLVD S STE 2-142
CAPE CORAL FL
33904-5788
US

V. Phone/Fax

Practice location:
  • Phone: 239-841-5885
  • Fax:
Mailing address:
  • Phone: 239-841-5885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW26211
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: