Individual provider · Type 1 NPI

Ian Deville

Clinical Social Worker · Benton, TN

NPI number 1013833367 Active

Practice location

5842 Highway 30
Benton, TN 37307-4734

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X16763 (TN)

Clinical Social Worker: 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 interpers…

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About NPI 1013833367

Ian Deville's National Provider Identifier is 1013833367, issued on Jun 29, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Benton, TN. The record was last updated on Jun 29, 2026.