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Devin Patricia Henderson , LCSW

Social Worker β€’ Peoria, IL

Active NPI 1093188070 Individual Practitioner Female Practitioner
Practice location in NPPES

7617 N Villa Wood Ln
Peoria, IL 616141588

Call 3096938200 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

7617 N Villa Wood Ln

Peoria, IL 616141588

Telephone 3096938200
Organization at the Same NPPES Address or Phone
Joy Miller Facility NPI 1740471432

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 Paxton, IL. 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

2015

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 Peoria and Illinois

36 active clinicians are listed under Social Worker with a practice address in Peoria, IL (5,884 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Peoria

2.8% of these 36 clinicians have the CMS telehealth indicator.

8.3% of these 36 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: 2020-04-08
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES IL 149.020216

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: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Secondary Practice Locations

1510 W Ottawa Rd

Paxton, IL 609574090

Phone: 2173794302

Career & Practice History Timeline

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

12 Historical Events
πŸ‘€
Provider Name / Credentials Updated April 08, 2020

Recorded as DEVIN HENDERSON, LCSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2020

Counselor

πŸ“
Updated Practice Location August 26, 2019

Registered at 7617 N VILLA WOOD LN, PEORIA, IL 616141588 (Tel: 3096938200)

πŸ“
Updated Business Mailing Address August 26, 2019

Registered at 7617 N VILLA WOOD LN, PEORIA, IL 616141588 (Tel: 3096938200)

πŸ‘€
Provider Name / Credentials Updated August 26, 2019

Recorded as DEVIN STUMPF, LCSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2019

Social Worker (license number reported to NPPES: IL 149.020216)

βœ…
NPI Profile Active November 12, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 12, 2015

Registered at 1510 W OTTAWA RD, PAXTON, IL 609574090 (Tel: 2173794302)

πŸ“
Business Mailing Address (Initial Record) November 12, 2015

Registered at 1510 W OTTAWA RD, PAXTON, IL 609574090 (Tel: 2173794302)

πŸ‘€
Provider Name / Credentials (Initial Record) November 12, 2015

Recorded as DEVIN STUMPF

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2015

Counselor

🟒
Initial NPI Registration & Enumeration November 12, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1093188070
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 12, 2015
Last Update: April 08, 2020
Sole Proprietor: No

Other Social Workers in Peoria

Healthcare providers in Peoria

Mailing Address

7617 N Villa Wood Ln

Peoria, IL 616141588

Phone: 3096938200

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.