Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sara Lynn Devine, MT-BC, LCSW, ICGC-II

Individual provider Music Therapist · NPI 1902936487

Sara Lynn Devine, MT-BC, LCSW, ICGC-II is a Clinical Social Worker in Appleton, Wisconsin. Qualified in 2011, 15 years ago. Practices as a sole proprietor. Licensed in Pennsylvania and Wisconsin.

Years since qualifying
15
Licensed in
PA, WI
In the registry since
2007
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

245 N Metro Dr
Appleton, WI 54913-8572
Phone: (920) 903-1009
Fax: (800) 791-3601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 7854-123 (WI)
Music Therapist Taxonomy 225A00000X · Licence 05920 (PA)
Music Therapist Taxonomy 225A00000X · Licence 7854 (WI)

Record details

NPI number1902936487
Entity typeIndividual (Type 1)
GenderFemale
Credentials MT-BC , LCSW , ICGC-II
Sole proprietorYes
NPI enumeratedMarch 6, 2007
Last updated in NPPESFebruary 27, 2023
Certification dateFebruary 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated

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