Lera Josie Davenport, L.M.T, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 5130 Issued in FL

Practice address

6421 SW 13TH St
Gainesville, FL 32608-5419

Phone

(352) 514-5076

Fax

(352) 373-3950

NPI assigned

Aug 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1186876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186876800000",
    "number": "1891987020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 SW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326085419",
            "telephone_number": "352-514-5076",
            "fax_number": "352-373-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6421 SW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326085419",
            "telephone_number": "352-514-5076",
            "fax_number": "352-373-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "LERA",
        "middle_name": "JOSIE",
        "credential": "L.M.T, L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-12",
        "last_updated": "2007-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 5130",
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "FL",
            "license": "MA 3599",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "#C8547 LMT",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "#Z8967 LCSW",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lexie Dauer, CRNA
• Amy Daugherty
• Hannah Elizabeth Daughtry
• Chintan Dave, PHARMD
• Sanjay Bhasker Dave, MD
• Matthew Davenport, RD, PHD
• Steven D Davenport, LPN
• Julie Gaona Davey, CNM
• David Auerbach MD PA
• David C. Blumer, MD

• Clinical Social Worker in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.