Provider Demographics
NPI:1831247097
Name:DEVLIN, STEPHEN M (LCSW)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:M
Last Name:DEVLIN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33B BETHANY DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15215-1207
Mailing Address - Country:US
Mailing Address - Phone:412-580-4664
Mailing Address - Fax:412-690-2448
Practice Address - Street 1:2121 NOBLESTOWN RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-3956
Practice Address - Country:US
Practice Address - Phone:412-920-4200
Practice Address - Fax:412-920-0630
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-06
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW013901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical