Devonice Q Waller, is a
Social Worker based in Enfield, Connecticut. Devonice Q Waller is licensed to practice in * (Not Available) (license number ) and her current practice location is
153 Hazard Ave, Enfield, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 731-5522.
NPI number for Devonice Q Waller is 1932930450 and her current mailing address is 2 Waterside Xing Ste 401, Windsor, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932930450.
Healthcare Provider's Profile
| Full Name | Devonice Q Waller |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 153 Hazard Ave, Enfield, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1932930450
- Provider Enumeration Date: 08/08/2024
- Last Update Date: 09/02/2025
Medical Identifiers
Medical identifiers for Devonice Q Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932930450 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | 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. Devonice Q Waller 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 |
|---|
Devonice Q Waller,
2 Waterside Xing Ste 401,
Windsor, CT 06095-1588
Ph: (860) 697-3351 | Devonice Q Waller,
153 Hazard Ave,
Enfield, CT 06082-4592
Ph: (860) 731-5522 |
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