MR. DAVONNE D BREEDLOVE LCSW
NPI 1164242517
Social Worker - Clinical in Miami, FL

Q: What is Davonne Breedlove's NPI number?

The NPI number for Davonne Breedlove is 1164242517. It was assigned to this individual provider in the NPPES registry on October 11, 2024.

Q: What is Davonne Breedlove's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Davonne Breedlove was last updated on November 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since October 11, 2024PECOS Enrolled

66 W FLAGLER ST STE 900, MIAMI, FL 33130(786) 416-0418 Get Directions Write a Review

NPPES record last updated: November 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2024, Oct 11, 2024 (2 updates tracked since 2024).

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About Mr. Davonne D Breedlove Lcsw NPPES

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

MR. DAVONNE D BREEDLOVE LCSW (NPI 1164242517) is an individual clinical provider in Miami, Florida, licensed in Florida (SW23518) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164242517

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. DAVONNE D BREEDLOVECredential: LCSW

Location Address66 W FLAGLER ST STE 900Miami, FL 33130-1807

Mailing Address15111 Railroad DrMiami Gardens, FL 33054-2951 · (786) 416-0418

Phone(786) 416-0418

Sole ProprietorYes

Enumeration DateOctober 11, 2024

Last NPPES UpdateNovember 10, 20242 updates tracked since enumeration

NPPES CertifiedNovember 10, 2024

✔ NPI 1164242517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in FL · SW23518

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.

66 W FLAGLER ST STE 900, Miami, FL 33130

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.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)

Mr. Davonne D Breedlove Lcsw 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 33130 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 $60.92 – $187.05

Typical copayment $0.00 (range $15.23 – $46.76)

Most-billed visit code NA

Established Patient

$75.86 typical visit price

range $18.99 – $150.24

Typical copayment $18.96 (range $4.74 – $37.56)

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 20

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

ALEXIA BURTON

Social Worker (Clinical)