LARRY PAUL DAVENPORT – Clinical Social Worker, NPI 1265185409

LARRY PAUL DAVENPORT is a healthcare provider. based in Richmond, Kentucky. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 256466 (KY). The NPI Number for LARRY PAUL DAVENPORT is 1265185409

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
LARRY PAUL DAVENPORT
NPI
1265185409
Phone
Not provided
Address
401 HIGHLAND PARK DR
Enumeration Date
28 January 2022
Last Update Date
28 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6062562143
Graduation Year
2019 (7 years ago)
PAC ID
8921492794
Group Practice PAC ID
8224946561
Professional Enrollment ID
I20220222001650
Address ID
KY404568590MO116XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,195 CLINICAL SOCIAL WORKER in KY

Provider Addresses for LARRY PAUL DAVENPORT

  • 401 HIGHLAND PARK DR

    RICHMOND, KY 404753839

    Phone:

    Type: Mailing

  • 116 PROGRESS DR

    MOUNT VERNON, KY 404568590

    Phone: (606) 256-2143

    Type: Location

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-02-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220222001650IClinical Social WorkerKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40475)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224946561View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Nurse PractitionerKY
-KY
Nurse PractitionerKY
Clinical Social WorkerKY
Nurse PractitionerKY
Nurse PractitionerKY
-KY
Nurse PractitionerKY
Nurse PractitionerTN

Reviews

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Frequently asked questions

What is the 10-digit NPI for LARRY PAUL DAVENPORT?
LARRY PAUL DAVENPORT — NPI 1265185409 — is the standard way to identify this listing.
Does CMS list LARRY PAUL DAVENPORT as active?
Yes — LARRY PAUL DAVENPORT is active in the NPI listing used on this page.
What is LARRY PAUL DAVENPORT's primary classification?
Clinical Social Worker is the headline specialty for LARRY PAUL DAVENPORT here. Clinical services aligned with this taxonomy classification.
What address line appears for LARRY PAUL DAVENPORT?
LARRY PAUL DAVENPORT's geographic hint is Richmond, Kentucky in our summary view.
Is the information about LARRY PAUL DAVENPORT up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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