Individual provider · Type 1 NPI

Larry Paul Davenport

Clinical Social Worker · Mount Vernon, KY

NPI number 1265185409 Active

Practice location

116 Progress Dr
Mount Vernon, KY 40456-8590

Call (606) 256-2143 Map

Mailing address

401 Highland Park Dr
Richmond, KY 40475-3839

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X256466 (KY)

Clinical Social Worker: 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 interpers…

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About NPI 1265185409

Larry Paul Davenport's National Provider Identifier is 1265185409, issued on Jan 28, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mount Vernon, KY. The record was last updated on Jan 28, 2022.