Healthcare Provider Details

I. General information

NPI: 1881420008
Provider Name (Legal Business Name): DEVIN ALLEN MSW, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2024
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

259 MAIN ST
CHESTER NJ
07930-2528
US

IV. Provider business mailing address

259 MAIN ST
CHESTER NJ
07930-2528
US

V. Phone/Fax

Practice location:
  • Phone: 908-883-4173
  • Fax:
Mailing address:
  • Phone: 908-883-4173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SL06950900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: