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KIMBERLY YON-DAVIS, LCSW, PLLC
NPI 1508232539
Social Worker - Clinical in Destin, FL

Active since August 13, 2015
4393 COMMONS DR E STE 200, DESTIN, FL 32541(850) 974-8045(850) 678-1720 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2026, Oct 13, 2021, Feb 6, 2020 and 1 more (4 updates tracked since 2018).

About Kimberly Yon-davis, Lcsw, Pllc NPPES

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

KIMBERLY YON-DAVIS, LCSW, PLLC (NPI 1508232539) is a healthcare organization registered as a clinical in Destin, Florida and active in the NPI registry since August 2015. The organization lists Kimberly S Yon-davis, Direct Owner, as its authorized official.

NPPES Registry Identity

NPI1508232539
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKIMBERLY YON-DAVIS, LCSW, PLLC
Location Address4393 COMMONS DR E STE 200Destin, FL 32541-8482
Mailing Address1512 John Sims Pkwy E # 353Niceville, FL 32578-2143 · (850) 974-8045 · Fax (850) 678-1720
Phone(850) 974-8045
Fax(850) 678-1720
Organization SubpartNo
Authorized OfficialKimberly S Yon-davisDirect Owner · (850) 974-8045
Enumeration DateAugust 13, 2015
Last NPPES UpdateJune 5, 20264 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1508232539 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 FL · SW11761
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.
4393 COMMONS DR E STE 200, Destin, FL 32541
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Yon-davis, Lcsw, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kimberly Yon-Davis, Lcsw, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kimberly Yon-Davis, LCSW
Clinical Social Worker
NPI 1992129290
4393 COMMONS DR E STE 200
Destin, FL 32541
(850) 974-8045
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kimberly Yon-Davis, Lcsw, PLLC's NPI number?

The NPI number for Kimberly Yon-Davis, Lcsw, PLLC is 1508232539. It was assigned to this organization in the NPPES registry on August 13, 2015.

Where is Kimberly Yon-Davis, Lcsw, PLLC located?

Kimberly Yon-Davis, Lcsw, PLLC is located at 4393 Commons Dr E Ste 200, Destin, FL 32541. The listed phone number is (850) 974-8045.

What is Kimberly Yon-Davis, Lcsw, PLLC's specialty?

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

Is Kimberly Yon-Davis, Lcsw, PLLC enrolled in Medicare?

Yes. Kimberly Yon-Davis, Lcsw, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kimberly Yon-Davis, Lcsw, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Kimberly Yon-Davis, Lcsw, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Yon-Davis, Lcsw, PLLC was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.