MR. NATHAN VICTOR DAVIS MSW, LSWAIC, SUDPT
NPI 1922588094
Social Worker - Clinical in Pasco, WA
About Mr. Nathan Victor Davis Msw, Lswaic, Sudpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. NATHAN VICTOR DAVIS MSW, LSWAIC, SUDPT (NPI 1922588094) is an individual clinical provider in Pasco, Washington, licensed in Washington (LW61022677) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Nathan Victor Davis Msw, Lswaic, Sudpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nathan Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mountlake Terrace, WA 98043
- Reassigned Medicare billing, Washington enrollment
- 777 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 99301 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 12
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 Nathan Davis's NPI number?
The NPI number for Nathan Davis is 1922588094. It was assigned to this individual provider in the NPPES registry on August 17, 2018.
Where is Nathan Davis located?
Nathan Davis practices at 1608 Road 44, Pasco, WA 99301. The listed phone number is (509) 453-9820.
What is Nathan Davis's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Nathan Davis enrolled in Medicare?
Yes. Nathan Davis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nathan Davis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Davis reassigns Medicare benefits to Mindful Therapy Group PC (Mountlake Terrace, WA). 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 Nathan Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nathan Davis accept?
Health plans from BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Nathan 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 Nathan Davis was last updated on September 7, 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.
# Mr. Nathan Victor Davis, MSW, LSWAIC, SUDPT · NPI 1922588094
Clinical provider in Pasco, Washington. Individual provider, active in the CMS NPPES registry since August 17, 2018.
## Identity
- **NPI:** 1922588094 (Entity type: Individual)
- **Enumerated:** August 17, 2018
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LW61022677 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1608 ROAD 44, Pasco, WA 99301-2667
- **Phone:** (509) 453-9820 · **Fax:** (509) 545-6275
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mindful Therapy Group PC (NPI 1316238678, Mountlake Terrace, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** September 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1922588094) · Data from the CMS NPPES public registry.