Isaiah Davenport, LMSW, CSW-I

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11712-C Issued in NV

Practice address

1905 E 4TH St
Reno, NV 89512-3789

Phone

(775) 786-4673

Fax

(775) 786-4673

NPI assigned

Jul 26, 2022

Last updated

Nov 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Nevada HIV Outpatient Program Education and ServicesGroup PAC ID 4385635119, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northern Nevada HIV Outpatient Program, Education and Services

  dba Northern Nevada HOPES

  • Specialist
  • Reno, NV
  • NPI 1992709976
  Medicare reassignment Care Compare group NPD
• Northern Nevada HIV Outpatient Program, Education and Services

  dba Northern Nevada Hopes

  • Federally Qualified Health Center (FQHC)
  • Reno, NV
  • NPI 1659792810
  NPD
• Vitality Unlimited

  dba Vitality Integrated Services Reno

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1942071683
  NPD

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1619603388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 W 5TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034407",
            "telephone_number": "775-240-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 E 4TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895123789",
            "telephone_number": "775-786-4673",
            "fax_number": "775-786-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1135 Terminal Way Ste 208B",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895022168",
            "country_code": "US",
            "telephone_number": "775-322-3668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "580 W 5th St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895034407",
            "country_code": "US",
            "telephone_number": "775-786-4673",
            "fax_number": "775-786-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "ISAIAH",
        "credential": "LMSW, CSW-I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-26",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "11712-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Joan Daubner, CPC,LPC
• Kevin Daniel Daugherty
• Melanie Rose Daulton, MD
• Mihir Girishkumar Dave, MD
• Thomas S. Davee, M.D.
• Roberta Davi
• David J Beecher, O.D., a Professional Corporation
• David L. Pastrell
• David Leonard & Associates, PC
• David M White DDS LTD

• Clinical Social Worker in Reno, NV
• Providers in Reno, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.

Verify at the official NPI Registry.