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SIMONE LERONIA DAVENPORT-TATE LCSW
NPI 1811671407
Social Worker - Clinical in West Haven, CT

Active since June 14, 2023PECOS Enrolled
89 COLEMAN ST APT 634, WEST HAVEN, CT 06516(203) 278-2845 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2025, Jun 14, 2023 (2 updates tracked since 2023).

About Simone Leronia Davenport-tate Lcsw NPPES

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

SIMONE LERONIA DAVENPORT-TATE LCSW (NPI 1811671407) is an individual clinical provider in West Haven, Connecticut, licensed in Connecticut (15105) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1811671407
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSIMONE LERONIA DAVENPORT-TATECredential: LCSW
Location Address89 COLEMAN ST APT 634West Haven, CT 06516-7413
Mailing Address89 Coleman St Apt 634West Haven, CT 06516-7413 · (203) 278-2845
Phone(203) 278-2845
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 14, 2023
Last NPPES UpdateApril 10, 20252 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1811671407 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 CT · 15105
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.
89 COLEMAN ST APT 634, West Haven, CT 06516
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Other Names 1

Former Name (1)Simone Leronia Davenport

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simone Leronia Davenport-tate Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062996747
PECOS Enrollment IDI20260320000219
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06516 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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 Simone Davenport-tate's NPI number?

The NPI number for Simone Davenport-tate is 1811671407. It was assigned to this individual provider in the NPPES registry on June 14, 2023. The provider is also known as Simone Leronia Davenport.

Where is Simone Davenport-tate located?

Simone Davenport-tate practices at 89 Coleman St Apt 634, West Haven, CT 06516. The listed phone number is (203) 278-2845.

What is Simone Davenport-tate's specialty?

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

Is Simone Davenport-tate enrolled in Medicare?

Yes. Simone Davenport-tate is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Simone Davenport-tate was last updated on April 10, 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.