SARA LYNN DEVINE MT-BC, LCSW, ICGC-II
NPI 1902936487
Social Worker - Clinical in Appleton, WI

Active since March 06, 2007PECOS Enrolled
245 N METRO DR, APPLETON, WI 54913(920) 903-1009(800) 791-3601 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sara Lynn Devine Mt-bc, Lcsw, Icgc-ii NPPES

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

SARA LYNN DEVINE MT-BC, LCSW, ICGC-II (NPI 1902936487) is an individual clinical provider in Appleton, Wisconsin, licensed in Wisconsin (7854-123) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1902936487
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSARA LYNN DEVINECredential: MT-BC, LCSW, ICGC-II
Location Address245 N METRO DRAppleton, WI 54913-8572
Mailing Address245 N Metro DrAppleton, WI 54913-8572 · (920) 903-1009 · Fax (800) 791-3601
Fax(800) 791-3601
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 6, 2007
Last NPPES UpdateFebruary 27, 2023
NPPES CertifiedFebruary 27, 2023
NPI 1902936487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WI · 7854-123
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.

Also ListedMusic TherapistTaxonomy 225A00000X · License 05920 (PA), 7854 (WI)
245 N METRO DR, Appleton, WI 54913

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sara Lynn Devine Mt-bc, Lcsw, Icgc-ii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214150135
PECOS Enrollment IDI20140522000608
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54913 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Music Therapist
245 N METRO DR
APPLETON, WI 54913
Music Therapist
245 N METRO DR
APPLETON, WI 54913
Social Worker (Clinical)
245 N METRO DR
APPLETON, WI 54913
Counselor
245 N METRO DR
APPLETON, WI 54913
Counselor (Professional)
245 N METRO DR
APPLETON, WI 54913
Counselor (Professional)
245 N METRO DR
APPLETON, WI 54913
Music Therapist
245 N METRO DR
APPLETON, WI 54913
Music Therapist
245 N METRO DR
APPLETON, WI 54913

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902936487, enumerated as an "individual" on March 06, 2007.

The provider is located at 245 N METRO DR APPLETON, WI 54913 and the phone number is (920) 903-1009.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medica, Network. Please consult your insurance carrier or call the provider to verify.