Provider Demographics
NPI:1437367034
Name:MCDEVITT, RAYMOND ERVIN (MSS, LCSW)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:ERVIN
Last Name:MCDEVITT
Suffix:
Gender:M
Credentials:MSS, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2204 MILL LN
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-4028
Mailing Address - Country:US
Mailing Address - Phone:302-529-9166
Mailing Address - Fax:
Practice Address - Street 1:3526 SILVERSIDE RD
Practice Address - Street 2:SUITE 36
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4911
Practice Address - Country:US
Practice Address - Phone:302-650-4471
Practice Address - Fax:302-479-5061
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00009121041C0700X
PACW0158241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical