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NICOLE E DAVIS LCSW
NPI 1366621302
Social Worker - Clinical in Millburn, NJ

Active since October 26, 2007PECOS Enrolled
159 MILLBURN AVE STE 1, MILLBURN, NJ 07041(917) 304-7951 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nicole E Davis Lcsw NPPES

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

NICOLE E DAVIS LCSW (NPI 1366621302) is an individual clinical provider in Millburn, New Jersey, licensed in New York (078313) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366621302
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE E DAVISCredential: LCSW
Location Address159 MILLBURN AVE STE 1Millburn, NJ 07041-1846
Mailing Address50 Forest Hill RdWest Orange, NJ 07052-4518 · (917) 304-7951
Phone(917) 304-7951
Sole ProprietorYes
Enumeration DateOctober 26, 2007
Last NPPES UpdateJanuary 22, 2021
NPPES CertifiedJanuary 22, 2021
✔ NPI 1366621302 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 NY · 078313
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 · License 076063-1 (NY)
159 MILLBURN AVE STE 1, Millburn, NJ 07041
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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)

Nicole E 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 Nicole Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jesse Kahn Lcsw PLLC
17 mi
Mental Health (Including Community Mental Health Center)
850 7TH AVE STE 1106
New York, NY 10019
  • Reassigned Medicare billing, New York enrollment
  • 12 clinicians in this Medicare group
NPI 1396260980 (646) 797-4340

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 07041 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 $63.84 – $190.92
Typical copayment $0.00 (range $15.96 – $47.73)
Most-billed visit code NA
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

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 Nicole Davis's NPI number?

The NPI number for Nicole Davis is 1366621302. It was assigned to this individual provider in the NPPES registry on October 26, 2007.

Where is Nicole Davis located?

Nicole Davis practices at 159 Millburn Ave Ste 1, Millburn, NJ 07041. The listed phone number is (917) 304-7951.

What is Nicole Davis's specialty?

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

Is Nicole Davis enrolled in Medicare?

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

Which organization bills Medicare for Nicole Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Davis reassigns Medicare benefits to Jesse Kahn Lcsw PLLC (New York, NY). 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 Nicole Davis'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 Nicole Davis was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.