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

Individual provider Clinical Social Worker · NPI 1790128494

Ilya V Davidovich, LMSW is a Clinical Social Worker in Monroe, Michigan. Qualified in 2004, 22 years ago. Practices with Jewish Family Services of Washtenaw County Inc, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
22
Licensed in
MI
In the registry since
2013
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

1001 S Raisinville Rd
Monroe, MI 48161-9754
Phone: (734) 384-0305
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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 6801087558 (MI)

Record details

NPI number1790128494
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorYes
NPI enumeratedApril 11, 2013
Last updated in NPPESApril 11, 2013
Mailing address5875 S Ivanhoe Ave, Ypsilanti, MI 48197-7113

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Jewish Family Services Of Washtenaw County Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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