Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124559307 Individual Practitioner Male Practitioner

David Reid Davisworth Ii , QMHA

Case Manager/Care Coordinator • Newport, OR

Professional Overview & Biography Verified Profile Summary

David Davisworth Ii, QMHA is a registered healthcare professional specializing in Case Manager/Care Coordinator in Newport, OR. Practice services are available at 51 SW LEE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

51 Sw Lee St

Newport, OR 973653823

Telephone 5415745960
Fax 5412650601
Associated Practice Facility / Clinic
🏢 Inactive - County Of Lincoln Facility NPI 1326414087

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Newport, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
28 Specialists

Practicing in Newport, OR (4272 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
601157-449 (VA)

Secondary Practice Locations

1368 Rockfish Valley Hwy

Nellysford, VA 229583007

Phone: 5404785229

4422 Ne Devils Lake Blvd

Lincoln City, OR 973675000

Phone: 5412654947

17720 Ne Halsey St Ste B

Portland, OR 972306771

Phone: 5036547654

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jeffrey Price , RECOVERY MENTOR

Counselor - Addiction (Substance Use Disorder)

NPI 1003316571

RECOVERYMENTOR

Jordyn Hubbard

Counselor - Mental Health

NPI 1003657156
Jase Pecanha , QMHA

Counselor - Mental Health

NPI 1013547371
Sofia Goheen

Counselor - Mental Health

NPI 1013758168
John Coffey , QMHA

Case Manager/Care Coordinator

NPI 1023522372
NPI 1023537818

CASEMANAGER2, QMHA

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location February 21, 2019

Registered at 51 SW LEE ST, NEWPORT, OR 973653823 (Tel: 5415745960)

📍
Updated Business Mailing Address February 21, 2019

Registered at 36 SW NYE ST, NEWPORT, OR 973653821 (Tel: 5412654947)

👤
Provider Name / Credentials Updated February 21, 2019

Recorded as DAVID DAVISWORTH II, QMHA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2019

Counselor

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Case Manager/Care Coordinator

NPI Profile Active December 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 06, 2017

Registered at 17720 NE HALSEY ST STE B, PORTLAND, OR 972306771 (Tel: 5036547654)

📍
Updated Business Mailing Address December 06, 2017

Registered at 3587 HEATHROW WAY, MEDFORD, OR 975044004 (Tel: 5418588170)

👤
Provider Name / Credentials Updated December 06, 2017

Recorded as REID DAVISWORTH, BS, QMHP QMHA CDSF

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2017

Counselor

NPI Profile Active March 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 21, 2017

Registered at 1871 MILLER SCHOOL RD, CHARLOTTESVILLE, VA 229037517 (Tel: 5404785229)

📍
Updated Business Mailing Address March 21, 2017

Registered at PO BOX 8, BATESVILLE, VA 229240008 (Tel: 5404785229)

👤
Provider Name / Credentials Updated March 21, 2017

Recorded as REID DAVISWORTH, BS, QMHP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2017

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration March 21, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124559307
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2017
Last Update: February 21, 2019
Sole Proprietor: No

Mailing Address

36 Sw Nye St

Newport, OR 973653821

Phone: 5412654947

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.