MR. DAVID REID DAVISWORTH II QMHA
NPI 1124559307
Case Manager/Care Coordinator in Newport, OR

Q: What is David Davisworth Ii's NPI number?

The NPI number for David Davisworth Ii is 1124559307. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Q: What is David Davisworth Ii's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Active since March 21, 2017

51 SW LEE ST, NEWPORT, OR 97365(541) 574-5960(541) 265-0601 Get Directions Write a Review

NPPES record last updated: February 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 21, 2019, Mar 17, 2018, Dec 6, 2017 and 1 more (4 updates tracked since 2017).

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About Mr. David Reid Davisworth Ii Qmha NPPES

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

MR. DAVID REID DAVISWORTH II QMHA (NPI 1124559307) is an individual case manager/care coordinator provider in Newport, Oregon and active in the NPI registry since March 2017. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1124559307

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameMR. DAVID REID DAVISWORTH IICredential: QMHA

Location Address51 SW LEE STNewport, OR 97365-3823

Mailing Address36 Sw Nye StNewport, OR 97365-3821 · (541) 265-4947 · Fax (541) 265-4194

Phone(541) 574-5960

Fax(541) 265-0601

Sole ProprietorNo

Enumeration DateMarch 21, 2017

Last NPPES UpdateFebruary 21, 20194 updates tracked since enumeration

✔ NPI 1124559307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

51 SW LEE ST, Newport, OR 97365

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Secondary Practice Locations 3

Location 11368 Rockfish Valley HwyNellysford, VA 22958-3007 · Phone (540) 478-5229

Location 24422 NE Devils Lake BlvdLincoln City, OR 97367-5000 · Phone (541) 265-4947 · Fax (541) 994-0261

Location 317720 NE Halsey St Ste BPortland, OR 97230-6771 · Phone (503) 654-7654

Other Identifiers 1

Medicaid601157-449VA

Other Providers at the Same Location NPPES 20

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

MR. JEFFREY PRICE RECOVERY MENTOR

Counselor (Addiction (Substance Use Disorder))