Individual provider Active NPI

Dacontee J Davis, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1912503590
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW136311 Issued in PA
Practice address
1620 W Sparks St
Philadelphia, PA 19141-1918
Phone
(267) 808-2329
NPI assigned
Dec 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 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 SW136311 PA Primary
Clinical Social Worker 1041C0700X 44SC06489500 NJ

Addresses

Primary practice location

1620 W Sparks St
Philadelphia, PA 19141-1918

Mailing address

211 Grand St Apt 5a
Hoboken, NJ 07030-8565
Phone (609) 954-8976

Other names 1

  • Decontee J Davis Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20260531000061 NJ Practitioner - Clinical Social Worker 5092285056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stellar Clinic NJ LLCGroup PAC ID 6002306693, 3 clinicians

Practice addresses (Care Compare)

576 Central Ave
FL 3
East Orange, NJ 07018-1951
Phone (973) 320-7004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW136311PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jill K Harle Counseling, LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1912503590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 GRAND ST APT 5A",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070308565",
            "telephone_number": "609-954-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 W SPARKS ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191411918",
            "telephone_number": "267-808-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DACONTEE",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW136311",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06489500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DECONTEE",
            "last_name": "DAVIS",
            "middle_name": "J",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.