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Devonice Q Waller

Social Worker β€’ Enfield, CT

Active NPI 1932930450 Individual Practitioner Female Practitioner
Practice location in NPPES

153 Hazard Ave
Enfield, CT 060824592

Call 8607315522 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

153 Hazard Ave

Enfield, CT 060824592

Telephone 8607315522
Fax 8607315536
Organization at the Same NPPES Address or Phone
Community Health Resources, Inc Facility NPI 1215967427

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Bloomfield, CT. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Enfield and Connecticut

20 active clinicians are listed under Social Worker with a practice address in Enfield, CT (2,128 in Connecticut).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Enfield

0% of these 20 clinicians have the CMS telehealth indicator.

0% of these 20 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-02
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Connecticut Department of Public Health Verification.
Look Up on State Board Site

Secondary Practice Locations

693 Bloomfield Ave

Bloomfield, CT 060022489

Phone: 8607315522

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

19 listed
Eileen Daigle

Counselor - Professional

NPI 1205227295
Dr. Ronald Davidoff , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1447366455

Doctor of Medicine (M.D.)

Dr. Robin Deutsch , MD

Internal Medicine - Addiction Medicine

NPI 1457663239

Doctor of Medicine (M.D.)

Dr. Jonathan Greenberg , MD

Psychiatry & Neurology - Geriatric Psychiatry

NPI 1033107198

Doctor of Medicine (M.D.)

Kate Leblanc , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1417349754

Advanced Practice Registered Nurse

Eben Lieberman , LCSW

Social Worker - Clinical

NPI 1558598037

Licensed Clinical Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location September 02, 2025

Registered at 153 HAZARD AVE, ENFIELD, CT 060824592 (Tel: 8607315522)

βœ…
NPI Profile Active August 08, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 08, 2024

Registered at 693 BLOOMFIELD AVE, BLOOMFIELD, CT 060022489 (Tel: 8607315522)

πŸ“
Business Mailing Address (Initial Record) August 08, 2024

Registered at 2 WATERSIDE XING STE 401, WINDSOR, CT 060951588 (Tel: 8606973351)

πŸ‘€
Provider Name / Credentials (Initial Record) August 08, 2024

Recorded as DEVONICE WALLER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2024

Counselor

🟒
Initial NPI Registration & Enumeration August 08, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1932930450
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2024
Last Update: September 02, 2025
Sole Proprietor: No

Mailing Address

2 Waterside Xing Ste 401

Windsor, CT 060951588

Phone: 8606973351

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.