Provider Demographics
NPI:1033219308
Name:MCDEVITT, MARY CELLA (MSSW)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:CELLA
Last Name:MCDEVITT
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:THERESE
Other - Last Name:CELLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSSW
Mailing Address - Street 1:851 ESSINGTON LN
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-1418
Mailing Address - Country:US
Mailing Address - Phone:847-459-0031
Mailing Address - Fax:
Practice Address - Street 1:3350 W SALT CREEK LN
Practice Address - Street 2:SUITE 114
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-5023
Practice Address - Country:US
Practice Address - Phone:847-459-0031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical