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DEIDRA D DAVIS LCSW
NPI 1821867425
Social Worker - Clinical in Jacksonville, FL

Active since December 22, 2023PECOS EnrolledAccepts Medicare Assignment
836 PRUDENTIAL DR STE 1507, JACKSONVILLE, FL 32207(904) 376-3800(904) 390-7516 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2026, Sep 11, 2025, Oct 7, 2024 (3 updates tracked since 2024).

About Deidra D Davis Lcsw NPPES

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

DEIDRA D DAVIS LCSW (NPI 1821867425) is an individual clinical provider in Jacksonville, Florida, licensed in Florida (SW22237) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1821867425
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDEIDRA D DAVISCredential: LCSW
Location Address836 PRUDENTIAL DR STE 1507Jacksonville, FL 32207-8342
Mailing AddressPo Box 748519Atlanta, GA 30374-8519 · (904) 376-3800 · Fax (904) 376-3998
Phone(904) 376-3800
Fax(904) 390-7516
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 22, 2023
Last NPPES UpdateJanuary 20, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1821867425 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 · SW22237
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.
836 PRUDENTIAL DR STE 1507, Jacksonville, FL 32207
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

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

Deidra D Davis Lcsw 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 ID6406295047
PECOS Enrollment IDI20240416002509
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 32207 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 $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 10

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

MRS. CHRISTINE NICOLE CREWS ARNP
Nurse Practitioner (Psychiatric/Mental Health)
836 PRUDENTIAL DR STE 1507
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
HIDI LEIGH MCCHESNEY MOODY APRN
Nurse Practitioner (Psychiatric/Mental Health)
836 PRUDENTIAL DR STE 1507
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
KELLY LYNN SHURMAN LMHC
Counselor (Mental Health)
836 PRUDENTIAL DR STE 1507
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
SARA MAE SIMPSON LMHC
Counselor (Mental Health)
836 PRUDENTIAL DR STE 1507
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
RYAN RISH
Social Worker (Clinical)
836 PRUDENTIAL DR STE 1507
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
DORIE ELIZABETH HANSON LMHC
Counselor (Mental Health)
836 PRUDENTIAL DR STE 1507
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
ALLISON NICOLE FENDLEY LMHC
Counselor (Mental Health)
836 PRUDENTIAL DR STE 1507
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
DEBORAH ELLEN ANTHONY LMHC
Counselor (Mental Health)
836 PRUDENTIAL DR STE 1507
JACKSONVILLE, FL 32207
Duval County (904) 376-3800

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 Deidra Davis's NPI number?

The NPI number for Deidra Davis is 1821867425. It was assigned to this individual provider in the NPPES registry on December 22, 2023.

Where is Deidra Davis located?

Deidra Davis practices at 836 Prudential Dr Ste 1507, Jacksonville, FL 32207. The listed phone number is (904) 376-3800.

What is Deidra Davis's specialty?

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

Is Deidra Davis enrolled in Medicare?

Yes. Deidra Davis 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.

What insurance does Deidra Davis accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare list Deidra Davis 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 Deidra Davis was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.