Individual provider Active NPI

Larry Paul Davenport

  • Clinical Social Worker
  • Mount Vernon, KY
National Provider Identifier
1265185409
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
256466 Issued in KY
Practice address
116 Progress Dr
Mount Vernon, KY 40456-8590
Phone
(606) 256-2143
NPI assigned
Jan 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 256466 KY Primary

Addresses

Primary practice location

116 Progress Dr
Mount Vernon, KY 40456-8590

Mailing address

401 Highland Park Dr
Richmond, KY 40475-3839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220222001650 KY Practitioner - Clinical Social Worker 8921492794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Help IncorporatedGroup PAC ID 8224946561, 43 clinicians

Practice addresses (Care Compare)

116 Progress Dr
Mount Vernon, KY 40456-8590
Phone (606) 256-2143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
256466KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated CurrentSince Jan 27, 2022 Accepting new patients
Health Help Incorporated CurrentSince Jan 27, 2022 Accepting new patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated Current Accepting new patients

Locations

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

104 Legacy Dr
Berea, KY 40403
Phone (858) 986-2323

30 Stacy Lane Rd
Irvine, KY 40336
Phone (606) 723-0665

103 Southern Soul Way
Lancaster, KY 40444
Phone (855) 942-7787

1010 Main St S
McKee, KY 40447
Phone (606) 287-7104

116 Progress Dr
Mount Vernon, KY 40456
Phone (606) 256-2143

401 Highland Park Dr
Richmond, KY 40475
Phone (859) 626-7700

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1265185409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HIGHLAND PARK DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 PROGRESS DR",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404568590",
            "telephone_number": "606-256-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "LARRY",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, KY

Sources for this page

Verify at the official NPI Registry.