Individual provider · Type 1 NPI

Krystal Devore, LISW-S

Clinical Social Worker · Medina, OH

NPI number 1689040107 Active

Practice location

246 Northland Dr, Suite 140
Medina, OH 44256-3441

Fax (330) 722-1446

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XI.1302171 (OH)
Clinical Social Worker Primary 1041C0700X1302171 (OH)

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 1689040107

Krystal Devore, LISW-S's National Provider Identifier is 1689040107, issued on Aug 19, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Medina, OH. The record was last updated on Mar 15, 2023.