Courtney Brooke Davenport, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW 4582 Issued in FL

Practice address

950 S Tamiami TRL
Suite 202
Sarasota, FL 34236-7840

Phone

(941) 330-5348

NPI assigned

Aug 3, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Courtney Brooke Stephenson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249257600000",
    "number": "1154552503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S TAMIAMI TRL",
            "address_2": "SUITE 202",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342367840",
            "telephone_number": "941-330-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S TAMIAMI TRL",
            "address_2": "SUITE 202",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342367840",
            "telephone_number": "941-330-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "COURTNEY",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2009-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW 4582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "STEPHENSON",
            "middle_name": "BROOKE",
            "prefix": "MRS.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• G. Gioia Melissa Dasovich
• Michael Joseph Dattoli, M.D.
• Matthew Lane Daugherty, DPT, MOT
• Parrish Joy Daugherty, LMHC
• Circe S L Davenport, LMT
• Mari Davenport, LCMHC
• Mary G Davenport
• Valerie Lynn Daverio, L.AC., DIPL. A.C.
• David B. Mankowitz D.C., P.a.
• David P Campbell MD Facs PLLC

• Clinical Social Worker in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.