DARIC DAVENPORT LCSW
NPI 1346751740
Social Worker - Clinical in Waterville, ME

Q: 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.

Q: What is Daric Davenport'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 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.

Active since October 12, 2017PECOS EnrolledAccepts Medicare Assignment

67 EUSTIS PKWY, WATERVILLE, ME 04901(207) 873-2136 Get Directions Write a Review

NPPES record last updated: February 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2020, Oct 12, 2017 (2 updates tracked since 2017).

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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

NPI1346751740

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameDARIC DAVENPORTCredential: LCSW

Location Address67 EUSTIS PKWYWaterville, ME 04901-5173

Mailing Address67 Eustis PkwyWaterville, ME 04901-5173 · (207) 716-7041

Phone(207) 873-2136

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 12, 2017

Last NPPES UpdateFebruary 28, 20202 updates tracked since enumeration

✔ NPI 1346751740 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 ME · LC18546

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 ListedCounselorTaxonomy 101Y00000X · License MC16853 (ME)

67 EUSTIS PKWY, Waterville, ME 04901

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID5294164653

PECOS Enrollment IDI20200406001781

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 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.

New Patient

$0.00 typical visit price

range $53.26 – $162.77

Typical copayment $0.00 (range $13.31 – $40.69)

Most-billed visit code NA

Established Patient

$66.74 typical visit price

range $16.90 – $132.79

Typical copayment $16.68 (range $4.22 – $33.19)

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.

JON LOURENS LCSW

Social Worker (Clinical)