Active NPI
Devon Brandon Davasher, LCSW, CCM
- Clinical Social Worker
- Bentonville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6894-C
- Practice address
- 1200 SE 14TH St
Ste 8 PMB 303
Bentonville, AR 72712-7997 - Phone
- (501) 291-0420
- NPI assigned
- Aug 12, 2013
- Last updated
- Jul 15, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2016014769 | MO | |
| Clinical Social Worker | 1041C0700X | 5587 | OK | |
| Clinical Social Worker | 1041C0700X | CSW.09932963 | CO | |
| Clinical Social Worker | 1041C0700X | 6894-C | AR | Primary |
Addresses
Primary practice location
1200 SE 14TH St
Ste 8 PMB 303
Bentonville, AR 72712-7997
Mailing address
1200 SE 14TH St Ste 8
Bentonville, AR 72712-7997
Phone (501) 291-0420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, AR, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Stillwater, OK 74074
Phone (501) 291-0420
6834 Cantrell Rd
Suite 2267
Little Rock, AR 72207-4135
Phone (501) 291-0420
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5587 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Devon Davasher, LCSW PLLC | Current | Accepting new patients |
Locations
1200 SE 14th St
Ste 8
Bentonville, AR 72712
Phone (479) 273-1803
6834 Cantrell Rd
Little Rock, AR 72207
Phone (501) 291-0420
701 South St
Ste 100
Mountain Home, AR 72653
Phone (309) 665-0206
3605 Missouri Blvd
Jefferson City, MO 65109
Phone (501) 291-0420
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1568895795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 SE 14TH ST STE 8",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727127997",
"telephone_number": "501-291-0420",
"fax_number": "866-728-9492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 SE 14TH ST",
"address_2": "STE 8 PMB 303",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727127997",
"telephone_number": "501-291-0420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVASHER",
"first_name": "DEVON",
"middle_name": "BRANDON",
"credential": "LCSW, CCM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-12",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2016014769",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "5587",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09932963",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "6894-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.