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Devon John Roach , LMSW

Social Worker - Clinical β€’ Holly, MI

Active NPI 1285269746 Individual Practitioner Male Practitioner
Practice location in NPPES

322 East St
Holly, MI 484421739

Call 2488913245 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

322 East St

Holly, MI 484421739

Telephone 2488913245
Organization at the Same NPPES Address or Phone
Wholeness Recovered Llc Facility NPI 1073406252

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

NPI first issued

2020

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

Enrolled in Medicare (PECOS)

Devon Roach has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Devon Roach as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Holly and Michigan

14 active clinicians are listed under Social Worker - Clinical with a practice address in Holly, MI (17,662 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Holly

0% of these 14 clinicians have the CMS telehealth indicator.

21.4% of these 14 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: 2024-02-12
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES MI 6801117389

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

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: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20240507001260

Enrollment State Jurisdiction

MI

PECOS Control ID

1254771330

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location February 12, 2024

Registered at 322 EAST ST, HOLLY, MI 484421739 (Tel: 2488913245)

πŸ“
Updated Business Mailing Address February 12, 2024

Registered at 322 EAST ST, HOLLY, MI 484421739 (Tel: 2488913245)

πŸ‘€
Provider Name / Credentials Updated February 12, 2024

Recorded as DEVON ROACH, LMSW

βœ…
NPI Profile Active March 09, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 09, 2020

Registered at 120 S MAIN ST STE C, MILFORD, MI 483811975 (Tel: 2485296383)

πŸ“
Business Mailing Address (Initial Record) March 09, 2020

Registered at 120 S MAIN ST STE C, MILFORD, MI 483811975 (Tel: 2485296383)

πŸ‘€
Provider Name / Credentials (Initial Record) March 09, 2020

Recorded as DEVON ROACH, CADC-DP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2020

Counselor

🟒
Initial NPI Registration & Enumeration March 05, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1285269746
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2020
Last Update: February 12, 2024
Sole Proprietor: Yes

Other Social Worker - Clinicals in Holly

Mailing Address

322 East St

Holly, MI 484421739

Phone: 2488913245

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.