DARIC DAVENPORT LCSW
NPI 1346751740
Social Worker - Clinical in Waterville, ME
About Daric Davenport Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DARIC DAVENPORT LCSW (NPI 1346751740) is an individual clinical provider in Waterville, Maine, licensed in Maine (LC18546) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Daric Davenport Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Daric Davenport reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Waterville, ME 04901
- Reassigned Medicare billing, Maine enrollment
- 92 clinicians in this Medicare group
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 04901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Daric Davenport's NPI number?
The NPI number for Daric Davenport is 1346751740. It was assigned to this individual provider in the NPPES registry on October 12, 2017.
Where is Daric Davenport located?
Daric Davenport practices at 67 Eustis Pkwy, Waterville, ME 04901. The listed phone number is (207) 873-2136.
What is Daric Davenport's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Daric Davenport enrolled in Medicare?
Yes. Daric Davenport is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Daric Davenport's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Daric Davenport reassigns Medicare benefits to Kennebec Valley Mental Health Center (Waterville, ME). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daric Davenport's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Daric Davenport was last updated on February 28, 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.
# Daric Davenport, LCSW · NPI 1346751740
Clinical provider in Waterville, Maine. Individual provider, active in the CMS NPPES registry since October 12, 2017.
## Identity
- **NPI:** 1346751740 (Entity type: Individual)
- **Enumerated:** October 12, 2017
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LC18546 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 67 EUSTIS PKWY, Waterville, ME 04901-5173
- **Phone:** (207) 873-2136
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Kennebec Valley Mental Health Center (NPI 1679504864, Waterville, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** February 28, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1346751740) · Data from the CMS NPPES public registry.