Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Rodney Lee Davis Jr., LADC, LSW, LPC, PSYA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1891414918

Dr. Rodney Lee Davis Jr., LADC, LSW, LPC, PSYA is a Clinical Psychologist in Waterbury, Connecticut. Qualified in 2023, 3 years ago. Licensed in California, Connecticut and New Jersey.

Years since qualifying
3
Licensed in
CA, CT, NJ
In the registry since
2022
Specialties on file
4
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.
LSW — Licensed Social Worker
A state-licensed social worker.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 305
Waterbury, CT 06720-0305
Phone: (203) 565-1403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSB94029549 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 1216 (CT)
Professional Counselor Taxonomy 101YP2500X · Licence 46.008556 (CT)
Social Worker Taxonomy 104100000X · Licence 44SL07335300 (NJ)

Record details

NPI number1891414918
Entity typeIndividual (Type 1)
GenderMale
Credentials LADC , LSW , LPC , PSYA
Sole proprietorNo
NPI enumeratedAugust 23, 2022
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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