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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: November 01, 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
Phone(920) 903-1009
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sara Devine reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Expressive Therapies LLC
Same address
Clinical
245 N METRO DR
Appleton, WI 54913
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2 clinicians in this Medicare group
NPI 1225439326 (920) 903-1009
Seed Inc
Same address
Clinical
245 N METRO DR
Appleton, WI 54913
  • Reassigned Medicare billing, Wisconsin enrollment
NPI 1306489372 (920) 903-1009

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

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 17

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

LAUREN JOHNSON
Counselor
245 N METRO DR
APPLETON, WI 54913
Outagamie County (920) 903-1009
KAYLA MARIE DOBBS MT-BC, NMT, WMTR
Music Therapist
245 N METRO DR
APPLETON, WI 54913
Outagamie County (920) 903-1009
ALYSSA CLARK MT-BC
Music Therapist
245 N METRO DR
APPLETON, WI 54913
Outagamie County (920) 903-1009
AMY LOU JOHNSON MT-BC
Music Therapist
245 N METRO DR
APPLETON, WI 54913
Outagamie County (920) 284-0891
EXPRESSIVE THERAPIES LLC
Social Worker (Clinical)
245 N METRO DR
APPLETON, WI 54913
Outagamie County (920) 903-1009
SEED INC
Social Worker (Clinical)
245 N METRO DR
APPLETON, WI 54913
Outagamie County (920) 903-1009
SYDNI L SODERLUND MT-BC
Music Therapist
245 N METRO DR
APPLETON, WI 54913
Outagamie County (920) 903-1009
HEATHER LYNN MCDONALD MS, ATR, LCP-IT
Counselor (Professional)
245 N METRO DR
APPLETON, WI 54913
Outagamie County (920) 903-1009

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 Sara Devine's NPI number?

The NPI number for Sara Devine is 1902936487. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Sara Devine located?

Sara Devine practices at 245 N Metro Dr, Appleton, WI 54913. The listed phone number is (920) 903-1009.

What is Sara Devine's specialty?

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

Is Sara Devine enrolled in Medicare?

Yes. Sara Devine is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sara Devine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Devine reassigns Medicare benefits to 2 organizations: Expressive Therapies LLC (Appleton, WI) and Seed Inc (Appleton, WI). Each 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 Sara Devine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sara Devine accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health and UnitedHealthcare list Sara Devine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sara Devine was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.