DOMINIQUE DAVIS LCSW
NPI 1417382375
Social Worker - Clinical in Frederick, MD

Active since September 11, 2013PECOS Enrolled
210 ABRECHT PL, FREDERICK, MD 21701(301) 663-8263 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 23, 2019, Mar 29, 2018 (2 updates tracked since 2018).

About Dominique Davis Lcsw NPPES

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

DOMINIQUE DAVIS LCSW (NPI 1417382375) is an individual clinical provider in Frederick, Maryland, licensed in Maryland (32754) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417382375
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDOMINIQUE DAVISCredential: LCSW
Location Address210 ABRECHT PLFrederick, MD 21701-4918
Mailing Address1630 Corn Crib PlFrederick, MD 21702-1675
Sole ProprietorNo
Enumeration DateSeptember 11, 2013
Last NPPES UpdateApril 21, 20252 updates tracked since enumeration
NPPES CertifiedApril 21, 2025
NPI 1417382375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in MD · 32754 Licensed in PA · CW025643 Licensed in NY · 085815
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.
210 ABRECHT PL, Frederick, MD 21701

Secondary Practice Locations 2

Location 11630 Corn Crib PlFrederick, MD 21702-1675 · Phone (716) 417-4163
Location 22455 Union Blvd Apt 4GIslip, NY 11751-3149 · Phone (716) 417-4163

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dominique 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 21701 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 $57.99 – $175.57
Typical copayment $0.00 (range $14.49 – $43.89)
Most-billed visit code NA
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

Counselor (Mental Health)
210 ABRECHT PL
FREDERICK, MD 21701
Clinic/Center (Mental Health (Including Community Mental Health Center))
210 ABRECHT PL
FREDERICK, MD 21701
Counselor
210 ABRECHT PL
FREDERICK, MD 21701
Clinic/Center (Mental Health (Including Community Mental Health Center))
210 ABRECHT PL
FREDERICK, MD 21701
Social Worker
210 ABRECHT PL
FREDERICK, MD 21701
Social Worker (Clinical)
210 ABRECHT PL
FREDERICK, MD 21701
Social Worker
210 ABRECHT PL
FREDERICK, MD 21701
Counselor (Mental Health)
210 ABRECHT PL
FREDERICK, MD 21701

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 Dominique Davis's NPI number?

The NPI number for Dominique Davis is 1417382375. It was assigned to this individual provider in the NPPES registry on September 11, 2013.

Where is Dominique Davis located?

Dominique Davis practices at 210 Abrecht Pl, Frederick, MD 21701. The listed phone number is (301) 663-8263.

What is Dominique Davis's specialty?

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

Is Dominique Davis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Dominique Davis was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.