MICHAEL RAE DAVIS (LISW) – Clinical Social Worker, NPI 1144239641
Clinical Social Worker
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
827 CLINICAL SOCIAL WORKER in IA
Provider Addresses for MICHAEL RAE DAVIS (LISW)
1221 S GEAR AVE
WEST BURLINGTON, IA 526551681
Phone: (319) 524-3560
Fax: (319) 865-3110
Type: Location
340th Avenue, Keokuk County, Iowa, United States
KEOKUK, IA 526329539
Phone: (319) 524-3560
Fax: (319) 865-3110
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-11-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (920 days ago).
Enrollment records
1
Earliest due date
2023-11-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121130000534 | I | Clinical Social Worker | IA | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 70 | 11 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 13 | 13 | $0 |
Insurance plans in this area (ZIP 52655)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| - | IA | |
| Nurse Practitioner | WI | |
| P S Y C H I A T R Y | CT | |
| - | IA | |
| Clinical Social Worker | NY | |
| - | IA | |
| - | IA | |
| - | IA | |
| Mental Health Counselor | IA |
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