Provider Demographics
NPI:1386513117
Name:BUCHANAN, DEVON (MSW, LCSW, CDE)
Entity type:Individual
Prefix:
First Name:DEVON
Middle Name:
Last Name:BUCHANAN
Suffix:
Gender:M
Credentials:MSW, LCSW, CDE
Other - Prefix:
Other - First Name:DEVON
Other - Middle Name:
Other - Last Name:LEWIS-BUCHANAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LCSW, CDE
Mailing Address - Street 1:4002 ROCKS POINT PL
Mailing Address - Street 2:
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-1103
Mailing Address - Country:US
Mailing Address - Phone:561-801-4946
Mailing Address - Fax:
Practice Address - Street 1:4002 ROCKS POINT PL
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-1103
Practice Address - Country:US
Practice Address - Phone:561-801-4946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-31
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW256631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical