DOMINIQUE DAVIS LCSW
NPI 1417382375
Social Worker - Clinical in Frederick, MD
NPI Status: Active since September 11, 2013
- Individual
- Female
- Years of Experience 17
- Social Worker
- Clinical
- May Accept Medicare Approved Payment
- PECOS Enrolled
About DOMINIQUE DAVIS
This page provides the complete NPI Profile along with additional information for Dominique Davis, a provider established in Frederick, Maryland with a medical specialization in Social Worker, focusing in clinical and more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1417382375 assigned on September 2013. The practitioner's primary taxonomy code is 1041C0700X with license number 32754 (MD). The provider is registered as an individual and her NPI record was last updated April 2025.
- NPI
- 1417382375
- Provider Name
- DOMINIQUE DAVIS LCSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 210 ABRECHT PL FREDERICK, MD 21701
- Location Phone
- (301) 663-8263
- Mailing Address
- 1630 CORN CRIB PL FREDERICK, MD 21702
- Medical School Name
- OTHER
- Graduation Year
- 2009
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-11-2013
- Last Update Date
- 04-21-2025
- Code Navigator
A clinical social worker like Dominique Davis is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Secondary Locations
- 2455 Union Blvd Apt 4G
Islip, NY 11751
(716) 417-4163 - 1630 Corn Crib Pl
Frederick, MD 21702
(716) 417-4163
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 32754
- License State
- MD
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | CW025643 (PA) |
| 2 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | 085815 (NY) |
Medicare Participation & PECOS Enrollment Status
Dominique Davis is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Dominique Davis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8527321991
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250424003084
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 21701 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is NA
- Average New Patient Price $0
- Minimum New Patient Price $57.99
- Maximum New Patient Price $175.57
- Average New Patient Copayment $0
- Minimum New Patient Copayment $14.49
- Maximum New Patient Copayment $43.89
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.23
- Minimum Established Patient Price $18.66
- Maximum Established Patient Price $143.02
- Average Established Patient Copayment $18.05
- Minimum Established Patient Copayment $4.66
- Maximum Established Patient Copayment $35.75
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 1 | 7 | 3 | 8 | 2 | 3 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 6 | 8 | 4 | 3 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 6 + 8 + 4 + 3 + 1 + 4 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1417382375 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1073369591 | MOSAIC COMMUNITY SERVICES, INC. Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 210 ABRECHT PL FREDERICK, MD 21701 (301) 663-8263 |
| 1104570167 | MOSAIC COMMUNITY SERVICES, INC. Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 210 ABRECHT PL FREDERICK, MD 21701 (301) 663-8263 |
| 1710602818 | EMILY DORSEY LCPC Individual | Counselor (Professional) | 210 ABRECHT PL FREDERICK, MD 21701 (301) 663-8263 |
| 1518793652 | KERRY LYNN FAIR LMSW Individual | Social Worker | 210 ABRECHT PL FREDERICK, MD 21701 (443) 841-9959 |
| 1528514999 | PAIGE AUSTIN LCPC Individual | Counselor (Professional) | 210 ABRECHT PL FREDERICK, MD 21701 (301) 663-8263 |
| 1790419638 | MRS. JULIE PORTILLO LCSW-C Individual | Social Worker (Clinical) | 210 ABRECHT PL FREDERICK, MD 21701 (301) 663-8263 |
| 1487475117 | NICOLE PIEKARSKI LGPC Individual | Counselor | 210 ABRECHT PL FREDERICK, MD 21701 (301) 228-9314 |
| 1225848369 | ALEXA JO JESSOP LMSW Individual | Social Worker | 210 ABRECHT PL FREDERICK, MD 21701 (301) 663-8263 |
| 1336988328 | JOCELYN MAYER MAYER LMSW Individual | Social Worker | 210 ABRECHT PL FREDERICK, MD 21701 (301) 663-8263 |
| 1750126785 | DANA LEA KNOTT LCSW-C Individual | Social Worker (School) | 210 ABRECHT PL FREDERICK, MD 21701 (240) 367-5668 |
| 1942000138 | MR. ROBERT ANDERTON BARRETT LMSW Individual | Social Worker | 210 ABRECHT PL FREDERICK, MD 21701 (301) 663-8263 |
| 1437553880 | MEAGAN L. HERMAN LCPC Individual | Counselor (Mental Health) | 210 ABRECHT PL FREDERICK, MD 21701 (301) 663-8263 |
| 1538879374 | MRS. LINZY ANN MINNICH-THOMPSON LCSW-C Individual | Social Worker (Clinical) | 210 ABRECHT PL FREDERICK, MD 21701 (301) 228-9314 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417382375, enumerated in the NPI registry as an "individual" on September 11, 2013
The provider is located at 210 Abrecht Pl Frederick, Md 21701 and the phone number is (301) 663-8263
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider has more than 17 years of experience.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $72.23 and an average copayment of 18.05. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on September 11, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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