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

Mr. Dedan Davenport

Individual provider Clinical Social Worker · NPI 1659758274

Mr. Dedan Davenport is a Clinical Social Worker in White Plains, New York. Qualified in 2015, 11 years ago. Practices with Wheeler Clinic Inc, a 104-clinician group and accepts Medicare assignment.

Years since qualifying
11
In the registry since
2015
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Practice location Address checks out

19 Greenridge Ave
White Plains, NY 10605-1201
Phone: (914) 949-7680
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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

Record details

NPI number1659758274
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 4, 2015
Last updated in NPPESMay 4, 2015

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Wheeler Clinic Inc — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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