Ebony Davis, LCSW-C in College Park, MD - Medicare Social Worker Provider

Ebony Davis, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in College Park, Maryland. Her current practice location is 9658 Baltimore Ave Ste 300, College Park, Maryland. You can reach out to her office (for appointments etc.) via phone at (202) 670-4668.

Ebony Davis is licensed to practice in Maryland (license number 18606) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275220311.

Contact Information

	Ebony Davis, LCSW-C
	9658 Baltimore Ave Ste 300, College Park, MD 20740-1346
	(202) 670-4668
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ebony Davis
Gender	Female
Speciality	Social Worker - Clinical
Location	9658 Baltimore Ave Ste 300, College Park, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275220311
Provider Enumeration Date: 04/19/2023
Last Update Date: 05/23/2023

Medicare PECOS Information:

PECOS PAC ID: 8729500418
Enrollment ID: I20250324000210

Medical Identifiers

Medical identifiers for Ebony Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275220311	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	18606 (Maryland)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ebony Davis allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514

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. Ebony Davis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ebony Davis, LCSW-C 7580 Cherry Ln, Laurel, MD 20707-5551 Ph: (240) 481-8810	Ebony Davis, LCSW-C 9658 Baltimore Ave Ste 300, College Park, MD 20740-1346 Ph: (202) 670-4668

Reviews and Comments

Social Worker in College Park, MD

Karen Van Allen, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9100 Autoville Dr, College Park, MD 20740 Phone: 240-893-2410
Adegbemisola Adeduro, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4511 Knox Rd Ste 201, College Park, MD 20740 Phone: 240-582-7513 Fax: 301-979-7504
Megan Elizabeth Mckernan, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4511 Knox Rd Ste 201, College Park, MD 20740 Phone: 410-404-2466
Ladonna Tyrina Winnegan, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4912 Nantucket Rd, College Park, MD 20740 Phone: 703-429-0157
Jonathan David White, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9513 51st Ave, College Park, MD 20740 Phone: 202-297-3162
Nancy Lee Harris, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9259 Limestone Pl, College Park, MD 20740 Phone: 301-385-3375
Rachel Sherman, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3101 Susquehanna Hall 4200 Lehigh Rd, College Park, MD 20742 Phone: 301-405-1142

Ebony Davis, LCSW-C - Medicare Clinical Social Worker in College Park, MD