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MR. PHILLIP ALAN DAVIS LSW
NPI 1891370201
Social Worker - Clinical in Rockford, IL

Active since March 17, 2021PECOS EnrolledAccepts Medicare Assignment
1021 N MULFORD RD, ROCKFORD, IL 61107(888) 928-0212 Get Directions Write a Review

NPPES record last updated: September 27, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 14, 2022, Mar 17, 2021 (2 updates tracked since 2021).

About Mr. Phillip Alan Davis Lsw NPPES

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

MR. PHILLIP ALAN DAVIS LSW (NPI 1891370201) is an individual clinical provider in Rockford, Illinois, licensed in Illinois (149.027614) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1891370201
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. PHILLIP ALAN DAVISCredential: LSW
Location Address1021 N MULFORD RDRockford, IL 61107-3874
Mailing Address1021 N Mulford RdRockford, IL 61107-3874 · (888) 928-0212
Phone(888) 928-0212
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 17, 2021
Last NPPES UpdateSeptember 27, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2025
✔ NPI 1891370201 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 IL · 149.027614
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.
1021 N MULFORD RD, Rockford, IL 61107
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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

Mr. Phillip Alan Davis Lsw 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 ID4981125333
PECOS Enrollment IDI20250303000843
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 61107 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 $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 20

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

ROSECRANCE INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1021 N MULFORD RD
ROCKFORD, IL 61107
Winnebago County (815) 391-1000
ANDREA DAWN KAISER LCPC
Counselor (Professional)
1021 N MULFORD RD
ROCKFORD, IL 61107
Winnebago County (815) 621-5945
GLEN FORNERIS
Social Worker (Clinical)
1021 N MULFORD RD
ROCKFORD, IL 61107
Winnebago County (815) 387-5600
PAIGE LYNN RYAN LCSW
Social Worker (Clinical)
1021 N MULFORD RD
ROCKFORD, IL 61107
Winnebago County (815) 391-1000
MEGHAN COOK LSW
Social Worker
1021 N MULFORD RD
ROCKFORD, IL 61107
Winnebago County (815) 387-5623
DR. RICHARD RAYMOND DEPPE DDS
Dentist
1021 N MULFORD RD, SUITE 2
ROCKFORD, IL 61107
Winnebago County (815) 226-0400
MS. SAVILI KOISAY NGOVO LCSW
Social Worker (Clinical)
1021 N MULFORD RD
ROCKFORD, IL 61107
Winnebago County (815) 387-5600
AMANDA HURLEY MA, LPC, CADC
Counselor (Professional)
1021 N MULFORD RD
ROCKFORD, IL 61107
Winnebago County (815) 363-6132

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 Phillip Davis's NPI number?

The NPI number for Phillip Davis is 1891370201. It was assigned to this individual provider in the NPPES registry on March 17, 2021.

Where is Phillip Davis located?

Phillip Davis practices at 1021 N Mulford Rd, Rockford, IL 61107. The listed phone number is (888) 928-0212.

What is Phillip Davis's specialty?

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

Is Phillip Davis enrolled in Medicare?

Yes. Phillip 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.

When was this NPI record last updated?

The NPPES record for Phillip Davis was last updated on September 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.