Provider Demographics
NPI:1457832438
Name:DEVONSHIRE, NICHOLE E (LCSW)
Entity type:Individual
Prefix:
First Name:NICHOLE
Middle Name:E
Last Name:DEVONSHIRE
Suffix:
Gender:F
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:PO BOX 784
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47629-0784
Mailing Address - Country:US
Mailing Address - Phone:812-777-5230
Mailing Address - Fax:812-315-0222
Practice Address - Street 1:333 STATE ST STE B
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-1270
Practice Address - Country:US
Practice Address - Phone:812-777-5230
Practice Address - Fax:812-315-0222
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-27
Last Update Date:2025-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
IN34004706A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical