Individual provider Active NPI

Kira Lynne Davenport, LCSW

  • Clinical Social Worker
  • New City, NY
National Provider Identifier
1649825241
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075675 Issued in NE
Practice address
163 Strawtown Rd
New City, NY 10956-6830
Phone
(845) 638-8066
NPI assigned
Aug 9, 2019
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 075675 NY
Clinical Social Worker 1041C0700X 075675 NE Primary

Addresses

Primary practice location

163 Strawtown Rd
New City, NY 10956-6830

Mailing address

163 Strawtown Rd
New City, NY 10956-6830
Phone (845) 638-8066

Other practice location 1

140 Route 303
Valley Cottage, NY 10989-5906
Phone (914) 345-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220912000364 NY Practitioner - Clinical Social Worker 4284019357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Mental Health Association of Westchester County IncGroup PAC ID 0244121366, 24 clinicians

Practice addresses (Care Compare)

131 N Midland Ave
Suite 3
Nyack, NY 10960-1911
Phone (914) 345-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
075675NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Mental Health Association of Westchester County - Social Care Network Past Accepting new patients

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, 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": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1649825241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 STRAWTOWN RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566830",
            "telephone_number": "845-638-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 STRAWTOWN RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566830",
            "telephone_number": "845-638-8066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Route 303",
            "address_purpose": "LOCATION",
            "city": "Valley Cottage",
            "state": "NY",
            "postal_code": "109895906",
            "country_code": "US",
            "telephone_number": "914-345-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "KIRA",
        "middle_name": "LYNNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075675",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "075675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

Verify at the official NPI Registry.