Individual provider Active NPI

William Davis, LCSW

  • Clinical Social Worker
  • Cedar City, UT
National Provider Identifier
1679797633
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
362589-3501 Issued in UT
Practice address
245 E 680 S
Cedar City, UT 84720-3593
Phone
(435) 867-7654
Fax
(435) 986-8700
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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 5849-C NV
Clinical Social Worker 1041C0700X 362589-3501 UT Primary

Addresses

Primary practice location

245 E 680 S
Cedar City, UT 84720-3593

Mailing address

474 W 200 N
Suite 300
St George, UT 84770-4505
Phone (435) 634-5600

Other practice location 1

2810 W Charleston Blvd Ste 73
Las Vegas, NV 89102-1910
Phone (702) 331-2142

Other identifiers 1

IdentifierTypeStateIssuer
362589-3501OtherUTSTATE LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200622000938 NV Practitioner - Clinical Social Worker 6002906096 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harmony Wellness Center LLCGroup PAC ID 5294215687, 3 clinicians
Hygeia Wellness Center LLCGroup PAC ID 0042670218, 5 clinicians

Practice addresses (Care Compare)

1640 E Sahara Ave
Suite H
Las Vegas, NV 89104-3491
Phone (702) 690-0824

2810 W Charleston Blvd
Suite 77
Las Vegas, NV 89102-1910
Phone (702) 445-6323

2820 W Charleston Blvd
Suite 22
Las Vegas, NV 89102-1933
Phone (702) 301-6667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
362589-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hygeia Wellness Center LLC Clinical CurrentSince Jan 13, 2024 Accepting new patients
Harmony Mental Health LLC Clinical CurrentSince May 20, 2023 Accepting new patients
Bergdale & Hall, LLC Clinical Current Accepting new patients
Bergdale & Hall, LLC CurrentSince May 1, 2020 Accepting new patients
Harmony Wellness Center, LLC CurrentSince Feb 1, 2026 Accepting new patients
Fundamental Behavioral Services LLC CurrentSince Jul 29, 2024 Accepting new patients

Locations

1640 E Sahara Ave
Ste H
Las Vegas, NV 89104
Phone (702) 690-0824

2810 W Charleston Blvd
Ste 77
Las Vegas, NV 89102
Phone (702) 445-6323

2810 W Charleston Blvd
Ste 73
Las Vegas, NV 89102
Phone (702) 331-2142

6879 W Charleston Blvd
Ste A
Las Vegas, NV 89117
Phone (702) 308-4807

3035 S Maryland Pkwy
Ste 110
Las Vegas, NV 89109
Phone (702) 751-2547

2820 W Charleston Blvd
Ste 22
Las Vegas, NV 89102
Phone (702) 301-6667

6885 W Charleston Blvd
Las Vegas, NV 89117
Phone (702) 483-7367

2810 W Charleston Blvd
Ste H77
Las Vegas, NV 89102
Phone (702) 258-3315

Organizations & group practices 6

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1679797633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 W 200 N",
            "address_2": "SUITE 300",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704505",
            "telephone_number": "435-634-5600",
            "fax_number": "435-986-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 E 680 S",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847203593",
            "telephone_number": "435-867-7654",
            "fax_number": "435-986-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2810 W Charleston Blvd Ste 73",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891021910",
            "country_code": "US",
            "telephone_number": "702-331-2142",
            "fax_number": "702-331-1915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WILLIAM",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5849-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "362589-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "362589-3501",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

Verify at the official NPI Registry.