DEVON MAYCOCK


Address: 1027 N 8th Ave E, Duluth, MN 55805-1427
Phone: 2183368860

DEVON MAYCOCK (NPI# 1962860940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962860940
Entity Type Individual
Full Name DEVON MAYCOCK
Credential MSW, LICSW
Practice Address 1027 N 8th Ave E
Duluth
MN 55805-1427
Mailing Address 4000 W 9th St
Duluth
MN 55807-1563
Practice Telephone 2183368860
Mailing Telephone 2186252661
Mailing Fax Number 2186252697
Enumeration Date 2016-02-04
Last Update Date 2018-12-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
22794 MN Behavioral Health & Social Service Providers

Office Location

Street Address 1027 N 8TH AVE E
City DULUTH
State MN
Zip Code 55805-1427

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356852180 Peace of Mind of Duluth, Inc. Community/Behavioral Health 1000 East 1st Street, Suite 100, Duluth, MN 55805 2017-10-19
1891213419 Arielle Skalisky Registered Nurse 400 E. 3rd Street, Duluth, MN 55805 2017-09-04
1457886400 Chefrdn, LLC Dietitian, Registered 1101 East 4th Street, Duluth, MN 55805 2017-04-27
1962811604 Claire Elena Kap Nurse Practitioner Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 2014-08-06
1598196313 Kelsey Lindsay Putvin Audiologist 400 E 3rd St., Duluth, MN 55805 2013-12-04
1639462997 James F Conniff Family Medicine Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 2011-05-19
1215237433 Bobby Jo Mineheine Speech-Language Pathologist 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 2010-10-22
1891004248 Robin Michelle Warfel Occupational Therapist 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 2010-10-04
1154638716 Jennifer Chen Pharmacist 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 2010-09-02
1376858084 Jennifer Lynn Howard Pharmacist 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 2010-08-18
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497366611 Harvest Moon Mental Health Services, LLC Social Worker 1509 E Superior St Apt 203, Duluth, MN 55812-4402 2020-08-11
1235756784 Allissa Rardin Social Worker 720 N Central Ave, Duluth, MN 55807-1305 2020-07-01
1245701044 Kathryn Irene Vaughn Social Worker 3968 Mainsail Court, Duluth, GA 30096 2018-12-06
1063915239 Jpw Counseling & Consultation Social Worker 302 W Superior St Ste 508, Duluth, MN 55802 2018-03-14
1205348372 Viloria C Jackson Social Worker 3611 Gray Pl, Duluth, GA 30096-3298 2017-10-30
1992225668 Splady Therapy Services, LLC Social Worker 205 W 2nd St Ste 421, Duluth, MN 55802-1920 2017-06-23
1568999308 Jim Gaylord Social Worker 6208 E Superior St, Duluth, MN 55804-2542 2017-05-11
1457718744 Matheny Therapy & Consulting, LLC Social Worker 5241 N Shore Dr, Duluth, MN 55804-2911 2016-01-18
1689044620 Mari Trine Social Worker 2421 London Rd, Duluth, MN 55812-2222 2015-10-02
1720454572 Beyond Counseling and Wellness, LLC Social Worker 495 Abbotts Mill Dr, Duluth, GA 30097-8431 2015-08-17
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City DULUTH
Zip Code 55805

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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