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STACY DAVENPORT
NPI 1780399394
Case Manager/Care Coordinator in Twin Falls, ID

Active since January 18, 2023
630 ADDISON AVE W STE 1000, TWIN FALLS, ID 83301(208) 736-5048 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy Davenport NPPES

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

STACY DAVENPORT (NPI 1780399394) is an individual case manager/care coordinator provider in Twin Falls, Idaho and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1780399394
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameSTACY DAVENPORT
Location Address630 ADDISON AVE W STE 1000Twin Falls, ID 83301-5853
Mailing Address630 Addison Ave W Ste 1000Twin Falls, ID 83301-5853
Phone(208) 736-5048
Sole ProprietorNo
Enumeration DateJanuary 18, 2023
NPPES CertifiedJanuary 18, 2023
✔ NPI 1780399394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
630 ADDISON AVE W STE 1000, Twin Falls, ID 83301
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Other Providers at the Same Location NPPES 15

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

STEPHANIE LYNN CALLEN LSW
Counselor (Addiction (Substance Use Disorder))
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301
Twin Falls County (208) 736-5048
JESSICA ROWE LSW
Social Worker
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301
Twin Falls County (208) 736-5048
KIM L GRATA CADC
Counselor (Addiction (Substance Use Disorder))
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301
Twin Falls County (208) 736-5048
PAUL DAVID GUYMON LMSW
Counselor (Addiction (Substance Use Disorder))
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301
Twin Falls County (208) 736-5048
DUSTIN BURSON MOORE
Counselor (Mental Health)
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301
Twin Falls County (208) 736-5048
KRISTINA BUNN LSW
Social Worker
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301
Twin Falls County (208) 736-5048
JEREMY AJETI BS
Case Management
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301
Twin Falls County (208) 736-5048
TWIN FALLS COUNTY
Community/Behavioral Health
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301
Twin Falls County (208) 736-5048

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 Stacy Davenport's NPI number?

The NPI number for Stacy Davenport is 1780399394. It was assigned to this individual provider in the NPPES registry on January 18, 2023.

Where is Stacy Davenport located?

Stacy Davenport practices at 630 Addison Ave W Ste 1000, Twin Falls, ID 83301. The listed phone number is (208) 736-5048.

What is Stacy Davenport's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Stacy Davenport was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.