SAMANTHA DAVIS LCSW
NPI 1265785224
Social Worker - Clinical in Louisville, KY

Q: What is Samantha Davis's NPI number?

The NPI number for Samantha Davis is 1265785224. It was assigned to this individual provider in the NPPES registry on October 16, 2012.

Q: What is Samantha Davis'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 Samantha Davis was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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 16, 2012PECOS Enrolled

2215 PORTLAND AVE, LOUISVILLE, KY 40212(502) 953-4700 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 24, 2020, Aug 20, 2020, Aug 12, 2019 (3 updates tracked since 2019).

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About Samantha Davis Lcsw NPPES

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

SAMANTHA DAVIS LCSW (NPI 1265785224) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (254979) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1265785224

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSAMANTHA DAVISCredential: LCSW

Location Address2215 PORTLAND AVELouisville, KY 40212-1033

Mailing AddressPo Box 950244Louisville, KY 40295-0244 · (502) 953-4700

Phone(502) 953-4700

Sole ProprietorNo

Enumeration DateOctober 16, 2012

Last NPPES UpdateAugust 24, 20203 updates tracked since enumeration

NPPES CertifiedAugust 24, 2020

✔ NPI 1265785224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in KY · 254979

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.

Also ListedSocial WorkerTaxonomy 104100000X

2215 PORTLAND AVE, Louisville, KY 40212

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Secondary Practice Location 1

Location 18540 Baycenter RdJacksonville, FL 32256-7420 · Phone (904) 448-1933 ext. 1275 · Fax (904) 448-0349

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Davis 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.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Health Centers, Inc.

Same address

Federally Qualified Health Center (FQHC)

2215 PORTLAND AVE
Louisville, KY 40212

Reassigned Medicare billing, Kentucky enrollment
69 clinicians in this Medicare group

NPI 1518963230 (502) 774-8631

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40212 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 $52.76 – $162.27

Typical copayment $0.00 (range $13.19 – $40.56)

Most-billed visit code NA

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

JAIVANTI LOHANO MD

Family Medicine