Evan T Davis, LCSW in North Providence, RI - Medicare Social Worker Provider

Evan T Davis, LCSW is a medicare enrolled "Social Worker - Clinical" provider in North Providence, Rhode Island. His current practice location is 1190 Charles St, North Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (914) 258-1841.

Evan T Davis is licensed to practice in Rhode Island (license number CSW04029) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073244885.

Contact Information

	Evan T Davis, LCSW
	1190 Charles St, North Providence, RI 02904-3572
	(914) 258-1841
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Evan T Davis
Gender	Male
Speciality	Social Worker - Clinical
Location	1190 Charles St, North Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073244885
Provider Enumeration Date: 06/22/2022
Last Update Date: 03/28/2025

Medicare PECOS Information:

PECOS PAC ID: 4183135544
Enrollment ID: I20250613001742

Medical Identifiers

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

Identifier	Type	State	Issuer
1073244885	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW04029 (Rhode Island)	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. Evan T Davis allows following entities to bill medicare on his behalf.

Entity Name	Newport County Community Mental Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093713174 PECOS PAC ID: 9830089812 Enrollment ID: O20040316000531

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. Evan T 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
Evan T Davis, LCSW 1190 Charles St, North Providence, RI 02904-3572 Ph: (914) 258-1841	Evan T Davis, LCSW 1190 Charles St, North Providence, RI 02904-3572 Ph: (914) 258-1841

Reviews and Comments

Social Worker in North Providence, RI

Christine L Constantineau, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3000
Mandy Lecomte, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 35 Dorman Avenue, North Providence, RI 02904 Phone: 401-263-2885
Dawn Marie Edwards, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 149 Oak Park Dr, North Providence, RI 02904 Phone: 508-243-0112
Lucely D Rodriguez, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6 Utter St, North Providence, RI 02904 Phone: 401-376-3097
Erin Lemre, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 420 Fruit Hill Ave, North Providence, RI 02911 Phone: 401-353-3900 Fax: 401-354-7986
Ms. Michelle Nuey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1635 Mineral Spring Ave Ste 206, North Providence, RI 02904 Phone: 401-284-7115

Evan T Davis, LCSW - Medicare Clinical Social Worker in North Providence, RI