MEDICARE: RACHEL LENEE DEVINE MSW, LCSW

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	1041C0700X	Clinical Social Worker	117706	TX

General Provider Information

NPI Number	:	1376494864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL LENEE DEVINE MSW, LCSW

Provider Business Mailing Address
First Line	:	2201 DE VERNE ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-3929
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6937 N INTERSTATE 35
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78752-3295
Country	:	US
Telephone Number	:	512-804-3000
Fax Number	:	512-323-9544

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

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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