Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689040107 Individual Practitioner Female Practitioner

Krystal Devore , LISW-S

Social Worker - Clinical • Medina, OH

Professional Overview & Biography Verified Profile Summary

Krystal Devore, LISW-S is a registered healthcare professional specializing in Social Worker - Clinical in Medina, OH. Practice services are available at 246 NORTHLAND DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

246 Northland Dr
Suite 140

Medina, OH 442563441

Telephone 3307239600
Fax 3307221446
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Medina, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.6 Yrs
State Avg: 17.9 Yrs
Regional Practice Density
80 Specialists

Practicing in Medina, OH (10077 Statewide)

Telehealth Adoption Rate
7.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-02
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License OH 1302171

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.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License OH I.1302171

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0160326 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
NPI 1053749408

Master of Social Work, Licensed Social Worker

NPI 1063888444
Allison Petty , LPCC

Counselor - Professional

NPI 1124568365

Licensed Professional Clinical Counselor

Natalie Varrone , LPCC-S

Counselor - Mental Health

NPI 1215489836

LPCCS

Bradford Williams

Psychologist

NPI 1225297336
Barbara Hofelich , LISW-S

Social Worker - Clinical

NPI 1265460042

LISWS

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated March 15, 2023

Recorded as KRYSTAL DEVORE, LISW-S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2023

Social Worker (License #I.1302171 in OH)

NPI Profile Active August 19, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 19, 2015

Registered at 246 NORTHLAND DR, SUITE 140, MEDINA, OH 442563441 (Tel: 3307239600)

📍
Updated Business Mailing Address August 19, 2015

Registered at 246 NORTHLAND DR, SUITE 140, MEDINA, OH 442563441 (Tel: 3307239600)

👤
Provider Name / Credentials Updated August 19, 2015

Recorded as KRYSTAL DEVORE, L.I.S.W.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2015

Social Worker (License #1302171 in OH)

🟢
Initial NPI Registration & Enumeration August 19, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689040107
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2015
Last Update: March 15, 2023
Sole Proprietor: Yes

Mailing Address

246 Northland Dr, Suite 140

Medina, OH 442563441

Phone: 3307239600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.