DEVORA SEGALL (LCSW) – Clinical Social Worker, NPI 1114562279

DEVORA SEGALL (LCSW) is a healthcare provider. based in Lakewood, New Jersey. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. The NPI Number for DEVORA SEGALL (LCSW) is 1114562279

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DEVORA SEGALL (LCSW)
NPI
1114562279
Phone
(732) 901-6001
Address
450 W KENNEDY BLVD
Enumeration Date
13 November 2019
Last Update Date
2 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3478418943
Graduation Year
2016 (10 years ago)
PAC ID
7719404771
Group Practice PAC ID
8123540630
Professional Enrollment ID
I20250505000782
Address ID
NJ07632XXXXENXXXXXXXXXX00

Contacts

Secure Messaging
info@thelcsc.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness85
Years active:6State licenses:0Other namesUpdated within 12 months

2,724 CLINICAL SOCIAL WORKER in NJ

Provider Addresses for DEVORA SEGALL (LCSW)

  • 450 W KENNEDY BLVD

    LAKEWOOD, NJ 087011269

    Phone: (732) 901-6001

    Type: Mailing

  • 500 W KENNEDY BLVD

    LAKEWOOD, NJ 087011254

    Phone: (732) 901-6001

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250505000782IClinical Social WorkerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123540630View full group profile
NameSpecialtyState
Clinical Social WorkerNJ
Clinical Social WorkerNJ

Reviews

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Frequently asked questions

What is the registry number for DEVORA SEGALL (LCSW)?
The registry entry for DEVORA SEGALL (LCSW) shows NPI 1114562279.
Is DEVORA SEGALL (LCSW)'s NPI status active today?
Active status means DEVORA SEGALL (LCSW)'s NPI record is not deactivated in the public file.
How should patients interpret DEVORA SEGALL (LCSW)'s specialty?
The extract shows Clinical Social Worker for DEVORA SEGALL (LCSW). Clinical services aligned with this taxonomy classification.
What city is tied to DEVORA SEGALL (LCSW)?
The directory associates DEVORA SEGALL (LCSW) with Lakewood, New Jersey. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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