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MANDELLA DAVIS MSSA, LISW-S
NPI 1053829218
Social Worker - Clinical in Columbus, OH

Active since January 22, 2018PECOS Enrolled
4998 W BROAD ST, COLUMBUS, OH 43228(330) 441-1549 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mandella Davis Mssa, Lisw-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANDELLA DAVIS MSSA, LISW-S (NPI 1053829218) is an individual clinical provider in Columbus, Ohio, licensed in (I.2204170) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053829218
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMANDELLA DAVISCredential: MSSA, LISW-S
Location Address4998 W BROAD STColumbus, OH 43228-1647
Mailing Address6183 Wealthy LnDublin, OH 43016-7812
Phone(330) 441-1549
Sole ProprietorNo
Enumeration DateJanuary 22, 2018
Last NPPES UpdateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1053829218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed · I.2204170✔ Licensed in OH · S.1502370
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4998 W BROAD ST, Columbus, OH 43228
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mandella Davis Mssa, Lisw-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43228 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARABETH KELLY
Counselor (Addiction (Substance Use Disorder))
4998 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 754-8051
AMBER J MICHAEL LSW
Social Worker
4998 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 754-8051
MR. SHAUN A FIELDS
Peer Specialist
4998 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 754-8051
CARDIOLOGY NOW 3 PC
Internal Medicine (Cardiovascular Disease)
4998 W BROAD ST, SUITE 100
COLUMBUS, OH 43228
Franklin County (614) 851-6602
KIRSTIN BREANNE STERN
Counselor (Addiction (Substance Use Disorder))
4998 W BROAD ST
COLUMBUS, OH 43228
Franklin County (888) 643-7567
MARISKA KOVACS
Peer Specialist
4998 W BROAD ST
COLUMBUS, OH 43228
Franklin County (937) 707-7034
MALLORY MEGHAN COVERT CDCA
Counselor (Addiction (Substance Use Disorder))
4998 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 754-8051
REBECCA MICHELLE ALEXA BEASLEY CDCA
Social Worker
4998 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 754-8051

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mandella Davis's NPI number?

The NPI number for Mandella Davis is 1053829218. It was assigned to this individual provider in the NPPES registry on January 22, 2018.

Where is Mandella Davis located?

Mandella Davis practices at 4998 W Broad St, Columbus, OH 43228. The listed phone number is (330) 441-1549.

What is Mandella Davis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mandella Davis enrolled in Medicare?

Yes. Mandella Davis is registered in the Medicare PECOS enrollment system.

What insurance does Mandella Davis accept?

Health plans from CareSource, MedMutual and UnitedHealthcare list Mandella Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mandella Davis was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.