Provider Demographics
NPI:1386189793
Name:MCLEOD, DEVIN (LCSW)
Entity type:Individual
Prefix:
First Name:DEVIN
Middle Name:
Last Name:MCLEOD
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 1:265 PINENEEDLE RD
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-2715
Mailing Address - Country:US
Mailing Address - Phone:678-925-2459
Mailing Address - Fax:
Practice Address - Street 1:463 WORCESTER RD STE 406
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-5344
Practice Address - Country:US
Practice Address - Phone:339-666-8516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-21
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0059081041C0700X
MALICSW11205471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical