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Lera Josie Davenport, LMT,LCSW
Other Technician in Gainesville, Florida
NPI 1891987020

Lera Josie Davenport is a Other Technician based in Gainesville, FL. Lera Josie Davenport practices in Gainesville, FL and has the professional credentials of LMT,LCSW. The NPI Number for Lera Josie Davenport is 1891987020 and holds a License No. SW 5130 (Florida).

The current practice location address for Lera Josie Davenport is 6421 Sw 13Th St, Gainesville, FL and can be reached out via phone at 352-514-5076 and via fax at 352-373-3950. You can also correspond with Lera Josie Davenport through the mailing address at 6421 SW 13TH ST, GAINESVILLE, FL - 32608-5419 (mailing address contact number: 352-514-5076).

Location: 6421 Sw 13Th St, Gainesville, FL, 32608-5419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891987020
Provider Name
Lera Josie Davenport
Credential
LMT,LCSW
Provider Entity Type
Individual
Gender
Female
Address
6421 Sw 13Th St, Gainesville, FL, 32608-5419
Phone Number
352-514-5076
Fax Number
352-373-3950
Provider Enumeration Date
08/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
#C8547 LMT 01 FL BLUE CROSS/BLUE SHIELD
#Z8967 LCSW 01 FL BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
6421 Sw 13Th St
City
Gainesville
State
Florida
Zip
32608-5419
Phone Number
352-514-5076
Fax Number
352-373-3950
person
Provider Business Mailing Address Details
Address
6421 Sw 13Th St
City
Gainesville
State
Florida
Zip
32608-5419
Phone Number
352-514-5076
Fax Number
352-373-3950
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
MA 3599 (Florida)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
247200000X
License No.
SW 5130 (Florida)
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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