Individual provider · Type 1 NPI

Lera Josie Davenport, L.M.T, L.C.S.W.

Clinical Social Worker · Gainesville, FL

NPI number 1891987020 Active

Practice location

6421 SW 13th St
Gainesville, FL 32608-5419

Call (352) 514-5076 Map

Fax (352) 373-3950

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW 5130 (FL)
Other Technician 247200000XMA 3599 (FL)

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 1891987020

Lera Josie Davenport, L.M.T, L.C.S.W.'s National Provider Identifier is 1891987020, issued on Aug 12, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gainesville, FL. The record was last updated on Aug 12, 2007.