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Active NPI 1922588094 Individual Practitioner Male Practitioner

Nathan Victor Davis , MSW, LSWAIC, SUDPT

Social Worker - Clinical • Pasco, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Nathan Davis, MSW, LSWAIC, SUDPT is a certified Social Worker - Clinical practicing in Pasco, WA. With approximately 12 years of clinical experience since completing medical education in 2014, Nathan Davis delivers high-quality medical care to the local community at 1608 ROAD 44.

Nathan Davis is affiliated with Mindful Therapy Group Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1608 Road 44

Pasco, WA 993012667

Telephone 5094539820
Fax 5095456275

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Pasco, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs +0.2 yrs vs City Avg
City Avg: 11.8 Yrs
State Avg: 20.8 Yrs
Regional Practice Density
21 Specialists

Practicing in Pasco, WA (6524 Statewide)

Telehealth Adoption Rate
9.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
74.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Davis (12 Years) 12 Yrs
Pasco Specialty Average (11.8 Years) 11.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
63 22 $363.98 $76.85
90791 Psychiatric diagnostic evaluation
29 28 $430.79 $128.17

Medical Specialties & State Licenses

CMS Verified: 2023-09-07
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License WA LW61022677

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License WA CO60889540

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License WA SC60633484

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.

Hospital & Practice Group Affiliations

Mindful Therapy Group Pc

6505 216th St Sw, Mountlake Terrace, WA 980432089

Phone: 4256407009

Secondary Practice Locations

723 The Pkwy

Richland, WA 993524259

Phone: 5095427878

560 Gage Blvd Ste 101

Richland, WA 993529531

Phone: 5099423286

Practice Associates & Co-Workers

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

9 Associated Practitioners
NPI 1063952596

Master of Education

Ashley Amey

Physician Assistant

NPI 1093311912
Mark Spencer

Family Medicine

NPI 1366407181
Jennelle Thompson , PA-C

Physician Assistant

NPI 1376093294

Physician Assistant (Certified)

Edith Zaragoza

Physician Assistant

NPI 1669047965
Keith Goodman

Family Medicine

NPI 1700317310

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Business Mailing Address September 07, 2023

Registered at 550 GAGE BLVD STE 101, RICHLAND, WA 993529532 (Tel: 5099423627)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2023

Counselor (License #CO60889540 in WA)

📍
Updated Practice Location August 18, 2022

Registered at 1608 ROAD 44, PASCO, WA 993012667 (Tel: 5094539820)

📍
Updated Business Mailing Address August 18, 2022

Registered at PO BOX 190, TOPPENISH, WA 989480190 (Tel: 5098652395)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2022

Counselor

📍
Updated Practice Location June 13, 2021

Registered at 723 THE PKWY, RICHLAND, WA 993524259 (Tel: 5095427878)

📍
Updated Business Mailing Address June 13, 2021

Registered at 723 THE PKWY, RICHLAND, WA 993524259 (Tel: 5095427878)

👤
Provider Name / Credentials Updated June 13, 2021

Recorded as NATHAN DAVIS, MSW, LSWAIC, SUDPT

📍
Updated Business Mailing Address October 08, 2020

Registered at 500 N MORAIN ST STE 1250, KENNEWICK, WA 993362967 (Tel: 5097830500)

NPI Profile Active August 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 17, 2018

Registered at 8514 W GAGE BLVD STE G, KENNEWICK, WA 993368108 (Tel: 5092221275)

📍
Updated Business Mailing Address August 17, 2018

Registered at 8514 W GAGE BLVD STE G, KENNEWICK, WA 993368108 (Tel: 5098453544)

👤
Provider Name / Credentials Updated August 17, 2018

Recorded as NATHAN DAVIS, MSW, LSWAIC, CDPT

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

Counselor (License #CO60889540 in WA)

🟢
Initial NPI Registration & Enumeration August 17, 2018

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: 1922588094
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2018
Last Update: September 07, 2023
Sole Proprietor: Yes

Mailing Address

550 Gage Blvd Ste 101

Richland, WA 993529532

Phone: 5099423627

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.