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

NPI Status: Active since March 21, 2017

Contact Information

51 SW LEE ST
NEWPORT, OR
ZIP 97365
Phone: (541) 574-5960
Fax: (541) 265-0601

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  • Individual
  • Male
  • Case Manager/Care Coordinator

About DAVID DAVISWORTH II

This page provides the complete NPI Profile along with additional information for David Davisworth Ii, a provider established in Newport, Oregon with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1124559307 assigned on March 2017. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1124559307
Provider Name
MR. DAVID REID DAVISWORTH II QMHA
Gender
Male
Entity Type
Individual
Location Address
51 SW LEE ST NEWPORT, OR 97365
Location Phone
(541) 574-5960
Location Fax
(541) 265-0601
Mailing Address
36 SW NYE ST NEWPORT, OR 97365
Mailing Phone
(541) 265-4947
Mailing Fax
(541) 265-0601
Is Sole Proprietor?
No
Enumeration Date
03-21-2017
Last Update Date
02-21-2019
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Location Map

Secondary Locations

  • 1368 Rockfish Valley Hwy
    Nellysford, VA 22958
    (540) 478-5229
  • 4422 NE Devils Lake Blvd
    Lincoln City, OR 97367
    (541) 265-4947
  • 17720 NE Halsey St Ste B
    Portland, OR 97230
    (503) 654-7654

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
601157-449MEDICAID (05)VA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124559307, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 5 → 10 → 1 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 1 + 0 + 5 + 1 + 8 + 3 + 0 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1124559307.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Mental Health)
51 SW LEE ST
NEWPORT, OR 97365
Counselor (Mental Health)
51 SW LEE ST
NEWPORT, OR 97365
Counselor (Addiction (Substance Use Disorder))
51 SW LEE ST
NEWPORT, OR 97365
Registered Nurse (Psychiatric/Mental Health, Adult)
51 SW LEE ST
NEWPORT, OR 97365
Counselor (Mental Health)
51 SW LEE ST
NEWPORT, OR 97365
Counselor (Mental Health)
51 SW LEE ST
NEWPORT, OR 97365
Peer Specialist
51 SW LEE ST
NEWPORT, OR 97365
Counselor (Mental Health)
51 SW LEE ST
NEWPORT, OR 97365
Counselor (Mental Health)
51 SW LEE ST
NEWPORT, OR 97365
Counselor (Mental Health)
51 SW LEE ST
NEWPORT, OR 97365
Counselor (Mental Health)
51 SW LEE ST
NEWPORT, OR 97365
Registered Nurse (Psychiatric/Mental Health, Adult)
51 SW LEE ST
NEWPORT, OR 97365
Counselor (Mental Health)
51 SW LEE ST
NEWPORT, OR 97365
Counselor (Mental Health)
51 SW LEE ST
NEWPORT, OR 97365
Counselor (Mental Health)
51 SW LEE ST
NEWPORT, OR 97365
Counselor (Mental Health)
51 SW LEE ST
NEWPORT, OR 97365
Counselor (Mental Health)
51 SW LEE ST
NEWPORT, OR 97365
Registered Nurse (Psychiatric/Mental Health)
51 SW LEE ST
NEWPORT, OR 97365
Counselor (Addiction (Substance Use Disorder))
51 SW LEE ST
NEWPORT, OR 97365
Case Manager/Care Coordinator
51 SW LEE ST
NEWPORT, OR 97365

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124559307, enumerated as an "individual" on March 21, 2017.

The provider is located at 51 SW LEE ST NEWPORT, OR 97365 and the phone number is (541) 574-5960.

Case Manager/Care Coordinator with taxonomy code 171M00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.