Nickolas B Davis, PHD, LCSW, LICSW in Miami, FL - Medicare Social Worker Provider

Nickolas B Davis, PHD, LCSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Miami, Florida. His current practice location is 66 W Flagler St Ste 900, Miami, Florida. You can reach out to his office (for appointments etc.) via phone at (407) 320-9348.

Nickolas B Davis is licensed to practice in Florida (license number SW11627) 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 1558645341.

Contact Information

	Nickolas B Davis, PHD, LCSW, LICSW
	66 W Flagler St Ste 900, Miami, FL 33130-1807
	(407) 320-9348
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nickolas B Davis
Gender	Male
Speciality	Social Worker - Clinical
Location	66 W Flagler St Ste 900, Miami, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558645341
Provider Enumeration Date: 09/28/2011
Last Update Date: 05/22/2025

Medicare PECOS Information:

PECOS PAC ID: 4688901002
Enrollment ID: I20190808000329

Medical Identifiers

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

Identifier	Type	State	Issuer
1558645341	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW11627 (Florida)	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. Nickolas B Davis allows following entities to bill medicare on his 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: O20210414000053

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. Nickolas B 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
Nickolas B Davis, PHD, LCSW, LICSW 4001 W Mcnichols Road, Briggs 315, Detroit, MI 48221 Ph: () -	Nickolas B Davis, PHD, LCSW, LICSW 66 W Flagler St Ste 900, Miami, FL 33130-1807 Ph: (407) 320-9348

Reviews and Comments

Social Worker in Miami, FL

Ms. Lourdes O. Ferrer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9400 Sw 52 Terrace, Miami, FL 33165 Phone: 305-273-9526 Fax: 305-273-9526
Martha A Descart, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1750 Ne 191st St Apt 329, Miami, FL 33179 Phone: 305-746-8002
Alexia Burton, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 66 W Flagler St Ste 900, Miami, FL 33130 Phone: 734-210-0289
Maria Adelaida Isaza, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1201 Nw 16th St, Miami, FL 33125 Phone: 305-927-0430
Maria Corina Gonzalez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 140 Nw 59th St, Miami, FL 33127 Phone: 786-548-8246
Ms. Abbe Sussman, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1951 Nw 17th Ave, Miami, FL 33125 Phone: 305-774-9570
Mr. Wayne Kadis, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1201 Nw 16th St, Social Work Service (122), Miami, FL 33125 Phone: 305-324-4455 Fax: 305-575-3380

Nickolas B Davis, PHD, LCSW, LICSW - Medicare Clinical Social Worker in Miami, FL