WANDA DEVAUGHN, LCSW, PC
NPI 1023264827
Social Worker - Clinical in Marietta, GA

Q: What is Wanda Devaughn, Lcsw, PC's NPI number?

The NPI number for Wanda Devaughn, Lcsw, PC is 1023264827. It was assigned to this organization in the NPPES registry on August 12, 2008.

Q: What is Wanda Devaughn, Lcsw, PC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since August 12, 2008

317 ALEXANDER ST SE, MARIETTA, GA 30060(770) 425-4488(770) 425-8862 Get Directions Write a Review

NPPES record last updated: August 12, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Wanda Devaughn, Lcsw, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WANDA DEVAUGHN, LCSW, PC (NPI 1023264827) is a healthcare organization registered as a clinical in Marietta, Georgia and active in the NPI registry since August 2008. The organization lists Wanda Devaughn, President, as its authorized official.

NPPES Registry Identity

NPI1023264827

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameWANDA DEVAUGHN, LCSW, PC

Location Address317 ALEXANDER ST SEMarietta, GA 30060-2077

Mailing Address317 Alexander St SeMarietta, GA 30060-2077 · (770) 425-4488 · Fax (770) 425-8862

Phone(770) 425-4488

Fax(770) 425-8862

Organization SubpartNo

Authorized OfficialWanda DevaughnPresident · (770) 425-4488

Enumeration DateAugust 12, 2008

✔ NPI 1023264827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in GA · CSW000605

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.

317 ALEXANDER ST SE, Marietta, GA 30060

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wanda Devaughn, Lcsw, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wanda Devaughn, Lcsw, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Wanda Devaughn, LCSW

Clinical Social Worker

NPI 1336251545

317 ALEXANDER ST SE
Marietta, GA 30060

(770) 425-4488

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanda Devaughn, Lcsw, PC's NPI number?

The NPI number for Wanda Devaughn, Lcsw, PC is 1023264827. It was assigned to this organization in the NPPES registry on August 12, 2008.

Where is Wanda Devaughn, Lcsw, PC located?

Wanda Devaughn, Lcsw, PC is located at 317 Alexander St SE, Marietta, GA 30060. The listed phone number is (770) 425-4488.

What is Wanda Devaughn, Lcsw, PC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Wanda Devaughn, Lcsw, PC enrolled in Medicare?

Yes. Wanda Devaughn, Lcsw, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wanda Devaughn, Lcsw, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Wanda Devaughn, Lcsw, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wanda Devaughn, Lcsw, PC was last updated on August 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.