LERA JOSIE DAVENPORT (NPI# 1891987020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891987020 |
| Entity Type | Individual |
| Full Name | LERA JOSIE DAVENPORT |
| Credential | L.M.T, L.C.S.W. |
| Practice Address |
6421 Sw 13th St Gainesville FL 32608-5419 |
| Practice Telephone | 3525145076 |
| Practice Fax Number | 3523733950 |
| Mailing Telephone | 3525145076 |
| Mailing Fax Number | 3523733950 |
| Enumeration Date | 2007-08-12 |
| Last Update Date | 2007-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW 5130 | FL | Behavioral Health & Social Service Providers |
| N | 247200000X | Technician, Other | MA 3599 | FL | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS/BLUE SHIELD | #C8547 LMT | 01 |
| FL | BLUE CROSS/BLUE SHIELD | #Z8967 LCSW | 01 |
| Street Address |
6421 SW 13TH ST |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32608-5419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780925123 | Larsen Mcbride | Massage Therapist | 6421 Sw 13th St, Gainesville, FL 32608-5419 | 2013-03-11 |
| 1881932390 | Gordon R Tanner | Mechanotherapist | 6421 Sw 13th St, Gainesville, FL 32608-5419 | 2013-01-18 |
| 1508160755 | Robert Lee | Mechanotherapist | 6421 Sw 13th St, Gainesville, FL 32608-5419 | 2011-01-03 |
| 1023327061 | Leann Marie Averell | Community Health Worker | 6421 Sw 13th St, Gainesville, FL 32608-5419 | 2010-09-24 |
| 1043537442 | Marshall Brunson | Massage Therapist | 6421 Sw 13th St, Gainesville, FL 32608-5419 | 2010-04-23 |
| 1508026493 | Sharon Diane Wester Davis | Massage Therapist | 6421 Sw 13th St, Gainesville, FL 32608-5419 | 2008-06-13 |
| 1578733267 | Donn Cameron Wilson | Massage Therapist | 6421 Sw 13th St, Gainesville, FL 32608-5419 | 2008-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426758 | Earlene Mae Anderson | Technician | 7770 Sw 47th Lane, Gainesville, FL 32608 | 2019-09-19 |
| 1588214720 | Jimmie Lee Crawford | Technician | 7427 Sw 63rd Terrace, Gainesville, FL 32608 | 2019-09-19 |
| 1306495346 | Lori Turbow | Technician | 2600 Sw Willingston Rd, Apt. 801, Gainesville, FL 32608 | 2019-09-11 |
| 1285281527 | Advance Best Care Medical Services LLC | In Home Supportive Care | 5745 Southwest 76th Street, Suite 250, Gainesville, FL 32608 | 2019-08-21 |
| 1669948097 | Eric Scott Traub | Genetic Counselor, MS | 1699 Sw 16th Avenue, Building A, Cms B2334, Gainesville, FL 32608 | 2018-10-24 |
| 1457834053 | Riverswarmingtouch LLC | Adult Companion | 2220 Sw 34th Street, Apt 125, Gainesville, FL 32608 | 2018-09-10 |
| 1811481252 | Anthony Farmer | Dentist | 3100 Sw 35th Pl Apt 18a, Gainesville, FL 32608 | 2018-06-19 |
| 1184112823 | Zoraida Vazquez | Early Intervention Provider Agency | 7117 Sw Archer Rd Lot 2121, Gainesville, FL 32608 | 2018-04-27 |
| 1942739214 | Brittany R Brown | Homemaker | 2908 Sw 38th Place, Gainesville, FL 32608 | 2017-06-08 |
| 1639605801 | Touch of Care,llc | Home Health | 6040 Sw 63rd Blvd, Gainesville, FL 32608 | 2017-05-10 |
| Find all providers in zip 32608 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205460987 | Aaron Maximo Perez | Social Worker | 675 White Sulphur Rd Ste 260, Gainesville, GA 30501-2569 | 2020-03-03 |
| 1689208076 | Reneisha Drayton | Social Worker | 1105 Fort Clarke Blvd Apt 705, Gainesville, FL 32606-7128 | 2020-02-25 |
| 1104484252 | Shanti Marie Cruz | Social Worker | 6423 Nw 30th Ter, Gainesville, FL 32653-1426 | 2019-06-04 |
| 1255995759 | Elizabeth Rose Gottlieb Gattone | Social Worker | 115 Ne 7th Ave Ste 201, Gainesville, FL 32601-4391 | 2019-04-30 |
| 1467917864 | Marquetta Lee | Social Worker | 2772 Nw 43rd St, Ste C, Gainesville, FL 32606 | 2019-02-10 |
| 1700385549 | Lacey Joy Hastreiter | Social Worker | 4872 Poplar Tree Rd, Gainesville, NY 14066-9720 | 2018-02-07 |
| 1609375633 | Erin B Upham | Social Worker | 7450 Heritage Village Plz Ste 100, Gainesville, VA 20155-3090 | 2018-02-05 |
| 1952817918 | Tomekia Wynn | Social Worker | North Florida/ South Georgia, 1601 S.w. Archer Road, Gainesville, FL 32608-1197 | 2017-12-28 |
| 1972017085 | Teresa Hearn | Social Worker | 1730 Thompson Bridge Rd Ste 2, Gainesville, GA 30501-1718 | 2017-11-28 |
| 1982118618 | Renew Counseling and Services | Social Worker | 14540 John Marshall Highway, Gainesville, VA 20155 | 2017-11-16 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32608 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.