Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eddie Ray Davenport III, LCSW

Individual provider Clinical Social Worker · NPI 1538827498

Eddie Ray Davenport III, LCSW is a Clinical Social Worker in Canton, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021
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

18 Church St
Canton, NC 28716-4457
Phone: (828) 707-3291
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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 C017490 (NC)

Record details

NPI number1538827498
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 7, 2021
Last updated in NPPESJanuary 2, 2025
Certification dateJanuary 2, 2025

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