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BRYANT L DAVIS LCSW
NPI 1366298143
Social Worker - Clinical in Carbondale, IL

Active since April 24, 2024PECOS Enrolled
2601 W MAIN ST, CARBONDALE, IL 62901(618) 549-5361(618) 351-4878 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 18, 2024, Jul 8, 2024, May 9, 2024 and 1 more (4 updates tracked since 2024).

About Bryant L Davis Lcsw NPPES

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

BRYANT L DAVIS LCSW (NPI 1366298143) is an individual clinical provider in Carbondale, Illinois, licensed in Illinois (149027162) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366298143
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBRYANT L DAVISCredential: LCSW
Location Address2601 W MAIN STCarbondale, IL 62901-1031
Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200
Phone(618) 549-5361
Fax(618) 351-4878
Sole ProprietorNo
Enumeration DateApril 24, 2024
Last NPPES UpdateJuly 18, 20244 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
✔ NPI 1366298143 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 IL · 149027162
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.
2601 W MAIN ST, Carbondale, IL 62901
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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 (PECOS)

Bryant L 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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 $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

MELISSA A MARTINEZ MATEO M.D.
Internal Medicine (Gastroenterology)
2601 W MAIN ST
CARBONDALE, IL 62901
Jackson County (618) 549-5361
CYNTHIA SNIDER APRN
Nurse Practitioner
2601 W MAIN ST
CARBONDALE, IL 62901
Jackson County (618) 549-5361
ASHLEY NICOLE MITCHELL APRN, FNP-BC
Nurse Practitioner
2601 W MAIN ST
CARBONDALE, IL 62901
Jackson County (618) 549-5361
PHYSICIANS SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
2601 W MAIN ST
CARBONDALE, IL 62901
Jackson County (618) 549-5361
THE CARBONDALE CLINIC
Clinic/Center (Multi-Specialty)
2601 W MAIN ST
CARBONDALE, IL 62901
Jackson County (618) 457-5200
LINDSAY B CASOLARI NP
Nurse Practitioner
2601 W MAIN ST
CARBONDALE, IL 62901
Jackson County (618) 549-5361
DR. IS-HAQ MALIK MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2601 W MAIN ST
CARBONDALE, IL 62901
Jackson County (618) 549-5361
JANNICE EDMONSON NP
Nurse Practitioner (Psychiatric/Mental Health)
2601 W MAIN ST
CARBONDALE, IL 62901
Jackson County (618) 549-5361

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 Bryant Davis's NPI number?

The NPI number for Bryant Davis is 1366298143. It was assigned to this individual provider in the NPPES registry on April 24, 2024.

Where is Bryant Davis located?

Bryant Davis practices at 2601 W Main St, Carbondale, IL 62901. The listed phone number is (618) 549-5361.

What is Bryant Davis's specialty?

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

Is Bryant Davis enrolled in Medicare?

Yes. Bryant Davis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bryant Davis was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.