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

Mr. Eric Samuel Davis, LCSW

Individual provider Clinical Social Worker · NPI 1790990224

Mr. Eric Samuel Davis, LCSW is a Clinical Social Worker in Salem, Oregon. Qualified in 2005, 21 years ago. Practices with Confederated Tribes of Siletz, an 11-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
21
Licensed in
OR
In the registry since
2007
Specialties on file
3
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

608 Lancaster Dr SE
Salem, OR 97317-5643
Phone: (503) 877-1995
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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 7843 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 14-04-26 (OR)
Clinical Social Worker Taxonomy 1041C0700X · Licence A4913 (OR)

Record details

NPI number1790990224
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 10, 2007
Last updated in NPPESSeptember 9, 2019
Mailing address608 Lancaster Dr Se, Salem, OR 97317-5643

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Confederated Tribes Of Siletz — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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