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ALYSSA DAVIDSON LCSW
NPI 1487223517
Social Worker - Clinical in Roseburg, OR

Active since June 22, 2021PECOS EnrolledAccepts Medicare Assignment
545 W UMPQUA ST, ROSEBURG, OR 97471(541) 450-9425(541) 900-1507 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2025, Mar 24, 2025, Jun 22, 2021 (3 updates tracked since 2021).

About Alyssa Davidson Lcsw NPPES

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

ALYSSA DAVIDSON LCSW (NPI 1487223517) is an individual clinical provider in Roseburg, Oregon, licensed in Oregon (L16250) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1487223517
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameALYSSA DAVIDSONCredential: LCSW
Location Address545 W UMPQUA STRoseburg, OR 97471-2979
Mailing Address545 W Umpqua StRoseburg, OR 97471-2979 · (541) 900-1506 · Fax (541) 900-1507
Phone(541) 450-9425
Fax(541) 900-1507
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 22, 2021
Last NPPES UpdateJune 5, 20253 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1487223517 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 OR · L16250
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
545 W UMPQUA ST, Roseburg, OR 97471
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alyssa Davidson 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 ID8325505787
PECOS Enrollment IDI20260806000903
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 Alyssa Davidson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wandering Minds Counseling & Consulting, LLC
0.8 mi
Clinical
727 SE CASS AVE STE 206
Roseburg, OR 97470
  • Reassigned Medicare billing, Oregon enrollment
NPI 1194688556 (541) 378-1186

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 97471 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 $54.96 – $166.64
Typical copayment $0.00 (range $13.74 – $41.66)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS GABRIELLE JOAN WEBSTER
Counselor (Mental Health)
545 W UMPQUA ST
ROSEBURG, OR 97471
Douglas County (541) 900-1506
TIMOTHY JAMES LEONARD
Counselor (Mental Health)
545 W UMPQUA ST
ROSEBURG, OR 97471
Douglas County (541) 957-5646
DALLIN SCOTT LOOSLI
Counselor (Mental Health)
545 W UMPQUA ST
ROSEBURG, OR 97471
Douglas County (541) 900-1506
AZURE NOELLE WOLFORD
Counselor (Mental Health)
545 W UMPQUA ST
ROSEBURG, OR 97471
Douglas County (541) 900-1506
BERNIE RICHARD COLLARD
Counselor
545 W UMPQUA ST
ROSEBURG, OR 97471
Douglas County (541) 957-5646
BROOKE ABEK I
Counselor (Mental Health)
545 W UMPQUA ST
ROSEBURG, OR 97471
Douglas County (541) 900-1506
MARIA PAOLA FLORES MORELOS
Counselor (Mental Health)
545 W UMPQUA ST
ROSEBURG, OR 97471
Douglas County (541) 900-1506
ANNE MANDERA
Counselor (Mental Health)
545 W UMPQUA ST
ROSEBURG, OR 97471
Douglas County (541) 900-1506

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 Alyssa Davidson's NPI number?

The NPI number for Alyssa Davidson is 1487223517. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Where is Alyssa Davidson located?

Alyssa Davidson practices at 545 W Umpqua St, Roseburg, OR 97471. The listed phone number is (541) 450-9425.

What is Alyssa Davidson's specialty?

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

Is Alyssa Davidson enrolled in Medicare?

Yes. Alyssa Davidson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Alyssa Davidson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Davidson reassigns Medicare benefits to Wandering Minds Counseling & Consulting, LLC (Roseburg, OR). 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 Alyssa Davidson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alyssa Davidson accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Alyssa Davidson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alyssa Davidson was last updated on June 5, 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.