Mr Andrew Thomas Davenport, LCSW is a
Social Worker - Clinical based in Van Etten, New York. Mr Andrew Thomas Davenport is licensed to practice in New York (license number 096316) and his current practice location is
32 Upper Front St Apt C, Van Etten, New York. He can be reached at his office (for appointments etc.) via phone at
(607) 351-3661.
NPI number for Mr Andrew Thomas Davenport is 1164290847 and his current mailing address is 32 Upper Front St Apt C, Van Etten, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164290847.
Healthcare Provider's Profile
Full Name | Mr Andrew Thomas Davenport |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 32 Upper Front St Apt C, Van Etten, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164290847
- Provider Enumeration Date: 12/13/2023
- Last Update Date: 06/09/2025
Medical Identifiers
Medical identifiers for Mr Andrew Thomas Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164290847 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 096316 (New York) | Primary |
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. Mr Andrew Thomas Davenport is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Andrew Thomas Davenport, LCSW 32 Upper Front St Apt C, Van Etten, NY 14889-9557 Ph: (607) 351-3661 | Mr Andrew Thomas Davenport, LCSW 32 Upper Front St Apt C, Van Etten, NY 14889-9557 Ph: (607) 351-3661 |
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