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

Q: 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.

Q: What is Bryant 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 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.

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: October 18, 2026.

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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Southern Illinois Medical Services, Nfp

3.3 mi

Internal Medicine

1239 E MAIN ST
Carbondale, IL 62901

Reassigned Medicare billing, Illinois enrollment
702 clinicians in this Medicare group

NPI 1770656837 (618) 457-5200

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 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)