ILYA V DAVIDOVICH LMSW
NPI 1790128494
Social Worker - Clinical in Monroe, MI
About Ilya V Davidovich Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ILYA V DAVIDOVICH LMSW (NPI 1790128494) is an individual clinical provider in Monroe, Michigan, licensed in Michigan (6801087558) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Ilya V Davidovich Lmsw 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.
Medicare Billing Reassignment
Medicare enrollment records show Ilya Davidovich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ann Arbor, MI 48104
- Reassigned Medicare billing, Michigan enrollment
- 12 clinicians in this Medicare group
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 48161 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Ilya Davidovich's NPI number?
The NPI number for Ilya Davidovich is 1790128494. It was assigned to this individual provider in the NPPES registry on April 11, 2013.
Where is Ilya Davidovich located?
Ilya Davidovich practices at 1001 S Raisinville Rd, Monroe, MI 48161. The listed phone number is (734) 384-0305.
What is Ilya Davidovich's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Ilya Davidovich enrolled in Medicare?
Yes. Ilya Davidovich 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 Ilya Davidovich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ilya Davidovich reassigns Medicare benefits to Jewish Family Services Of Washtenaw County, Inc. (Ann Arbor, MI). 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 Ilya Davidovich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ilya Davidovich accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Ilya Davidovich 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 Ilya Davidovich was last updated on April 11, 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.
# Ilya V Davidovich, LMSW · NPI 1790128494
Clinical provider in Monroe, Michigan. Individual provider, active in the CMS NPPES registry since April 11, 2013.
## Identity
- **NPI:** 1790128494 (Entity type: Individual)
- **Enumerated:** April 11, 2013
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 6801087558 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1001 S RAISINVILLE RD, Monroe, MI 48161-9754
- **Phone:** (734) 384-0305
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Jewish Family Services Of Washtenaw County, Inc. (NPI 1558691162, Ann Arbor, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** April 11, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1790128494) · Data from the CMS NPPES public registry.