Active NPI
Kimberly S Yon-Davis, LCSW
- Clinical Social Worker
- Destin, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW11761
- Practice address
- 4393 Commons Dr E Ste 200
Destin, FL 32541-8482 - Phone
- (850) 974-8045
- Fax
- (850) 678-1720
- NPI assigned
- Feb 7, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW11761 | FL | Primary |
Addresses
Primary practice location
4393 Commons Dr E Ste 200
Destin, FL 32541-8482
Mailing address
1512 John Sims Pkwy E # 353
Niceville, FL 32578-2143
Phone (850) 974-8045
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4393 Commons Dr E
Destin, FL 32541-8482
Phone (850) 974-8045
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kimberly Yon-Davis, LCSW, PLLC | Clinical | Current | Accepting new patients |
Locations
4393 Commons Dr E
Ste 200
Destin, FL 32541
Phone (850) 974-8045
4393 Commons Dr E
Ste 201
Destin, FL 32541
Phone (850) 974-8045
3997 Commons Dr W
Ste C
Destin, FL 32541
Phone (850) 217-5874
1512 John Sims Pkwy E
Niceville, FL 32578
Phone (601) 670-1539
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Destin, FL
- NPI 1508232539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1992129290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 JOHN SIMS PKWY E # 353",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325782143",
"telephone_number": "850-974-8045",
"fax_number": "850-678-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4393 COMMONS DR E STE 200",
"city": "DESTIN",
"state": "FL",
"postal_code": "325418482",
"telephone_number": "850-974-8045",
"fax_number": "850-678-1720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YON-DAVIS",
"first_name": "KIMBERLY",
"middle_name": "S",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-07",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW11761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Destin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.