MS. JEAN ROSENGARTEN DAVIDSON LCSW, LMFT
NPI 1528049715
Social Worker - Clinical in South Bend, IN

Q: What is Jean Davidson's NPI number?

The NPI number for Jean Davidson is 1528049715. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Q: What is Jean Davidson'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 Jean Davidson was last updated on February 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 November 07, 2005PECOS EnrolledAccepts Medicare Assignment

616 E COLFAX AVE, SOUTH BEND, IN 46617(574) 261-1255(574) 289-7000 Get Directions Write a Review

NPPES record last updated: February 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Jean Rosengarten Davidson Lcsw, Lmft NPPES

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

MS. JEAN ROSENGARTEN DAVIDSON LCSW, LMFT (NPI 1528049715) is an individual clinical provider in South Bend, Indiana, licensed in Indiana (34000496A) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1528049715

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. JEAN ROSENGARTEN DAVIDSONCredential: LCSW, LMFT

Location Address616 E COLFAX AVESouth Bend, IN 46617-2827

Mailing Address616 E. Colfax AvenueSouth Bend, IN 46617 · (812) 649-2936 · Fax (812) 649-2936

Phone(574) 261-1255

Fax(574) 289-7000

Sole ProprietorYes

Medical School CMSOtherGraduated 1988

Enumeration DateNovember 7, 2005

Last NPPES UpdateFebruary 15, 2013

✔ NPI 1528049715 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 IN · 34000496A

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 ListedMarriage & Family TherapistTaxonomy 106H00000X · License 35000827A (IN)

616 E COLFAX AVE, South Bend, IN 46617

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Other Identifiers 1

Medicare ID-Type Unspecified147240IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Jean Rosengarten Davidson Lcsw, Lmft 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 ID1951561752

PECOS Enrollment IDI20120403000052

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

205 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46617 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 $53.07 – $161.76

Typical copayment $0.00 (range $13.26 – $40.44)

Most-billed visit code NA

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

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Other Providers at the Same Location NPPES 7

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

MR. DONALD ALDEN CRONK III M.S., LMHC

Counselor (Mental Health)