Beth Dawn Davalos

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW5646 Issued in FL

Practice address

540 E Horatio Ave Ste 200
Maitland, FL 32751-7314

Phone

(407) 907-2825

NPI assigned

Feb 29, 2016

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

Medicare fee-for-service enrollment

Enrolled in FL

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Beth Davalos Counseling Center LLCGroup PAC ID 3375978414, 32 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 and National Provider Directory roles.

• Beth Davalos Counseling Center LLC

  • Clinical Social Worker
  • Maitland, FL
  • NPI 1932760451
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1982064234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 E HORATIO AVE STE 200",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517314",
            "telephone_number": "407-907-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E HORATIO AVE STE 200",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517314",
            "telephone_number": "407-907-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVALOS",
        "first_name": "BETH",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5646",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Ann Daniel, RN
• Brenda Eileen Daniels, RCMHCI
• Jeffrey Arlen Danziger, M.D.
• Darlene B Antonio PHD LLC
• Feroza Daroowalla, M.D.
• David L. McIntosh, D.M.D., P.a.
• Juliana Davidson
• Stephanie Davis Hopkins
• Angela B Davis, RMHI
• Brooke Hannah Davis, BT

• Clinical Social Worker in Maitland, FL
• Providers in Maitland, 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 Apr 23, 2020; 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.