Individual provider Active NPI

Ariel Nickole Davitt, BA

  • Clinical Social Worker
  • Plummer, ID
National Provider Identifier
1396385472
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8861557 Issued in ID
Practice address
427 12TH St
Plummer, ID 83851-4000
Phone
(208) 686-1449
NPI assigned
Jan 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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 8861557 ID Primary

Addresses

Primary practice location

427 12TH St
Plummer, ID 83851-4000

Mailing address

3964 N June Bug St
Post Falls, ID 83854-8872
Phone (208) 686-1449

Other names 1

  • Ariel Nickole Davitt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20250611002962 ID Practitioner - Clinical Social Worker 3072023605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benewah Medical Center 27 clinicians

Practice addresses (Care Compare)

PO Box
Suite 388
Plummer, ID 83851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Benewah Medical Center CurrentSince Mar 29, 2025 Accepting new patients
Frontier Behavioral Health Clinical PastSince Jan 12, 2020 Accepting new patients

Locations

427 12th St
Plummer, ID 83851
Phone (208) 686-5081

Organizations & group practices 2

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": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1396385472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3964 N JUNE BUG ST",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838548872",
            "telephone_number": "208-686-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 12TH ST",
            "city": "PLUMMER",
            "state": "ID",
            "postal_code": "838514000",
            "telephone_number": "208-686-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVITT",
        "first_name": "ARIEL",
        "middle_name": "NICKOLE",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "8861557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARIEL",
            "last_name": "DAVITT",
            "middle_name": "NICKOLE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plummer, ID

Sources for this page

Verify at the official NPI Registry.