Sara Lynn Devine, MT-BC, LCSW, ICGC-II
NPI 1902936487ActiveIndividual· Social Worker, Clinical· Appleton, WI
Social Worker, Clinical (MT-BC, LCSW, ICGC-II) in Appleton, Wisconsin, licensed in WI and PA, with an NPI issued in March 2007. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1902936487 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MT-BC, LCSW, ICGC-II |
| Sole proprietor | Yes |
| NPI issued | Mar 6, 2007 |
| Last updated in NPPES | Feb 27, 2023 |
| Certified by provider | Feb 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 7854-123 | WI |
| Music Therapist | 225A00000X | 05920 | PA |
| Music Therapist | 225A00000X | 7854 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (WI) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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All 152 clinical social workers in Appleton · All clinical social workers in Wisconsin