Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bryant L Davis, LCSW

Individual provider Clinical Social Worker · NPI 1366298143

Bryant L Davis, LCSW is a Clinical Social Worker in Carbondale, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2601 W Main St
Carbondale, IL 62901-1031
Phone: (618) 549-5361
Fax: (618) 351-4878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149027162 (IL)

Record details

NPI number1366298143
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 24, 2024
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024

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