Devante Andraes Raynor, MSW, BSW is a
Social Worker - Clinical based in Elk Grove, California. Devante Andraes Raynor is licensed to practice in California (license number 133445) and his current practice location is
9412 Big Horn Blvd Ste 6, Elk Grove, California. He can be reached at his office (for appointments etc.) via phone at
(503) 747-0404.
NPI number for Devante Andraes Raynor is 1417608035 and his current mailing address is 9412 Big Horn Blvd Ste 6, Elk Grove, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417608035.
Healthcare Provider's Profile
| Full Name | Devante Andraes Raynor |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 9412 Big Horn Blvd Ste 6, Elk Grove, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1417608035
- Provider Enumeration Date: 01/14/2022
- Last Update Date: 08/29/2025
Medical Identifiers
Medical identifiers for Devante Andraes Raynor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417608035 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | T-21-1344 (Oregon) | Secondary |
| 225400000X | Rehabilitation Practitioner | (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 133445 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Devante Andraes Raynor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Devante Andraes Raynor, MSW, BSW
9412 Big Horn Blvd Ste 6,
Elk Grove, CA 95758-1101
Ph: (916) 879-2178 | Devante Andraes Raynor, MSW, BSW
9412 Big Horn Blvd Ste 6,
Elk Grove, CA 95758-1101
Ph: (503) 747-0404 |
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