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

Mr. Nathan Victor Davis, MSW, LSWAIC, SUDPT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1922588094

Mr. Nathan Victor Davis, MSW, LSWAIC, SUDPT is a Clinical Social Worker in Pasco, Washington. Qualified in 2014, 12 years ago. Practices with Mindful Therapy Group PC, a 646-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
12
Licensed in
WA
In the registry since
2018
Specialties on file
4
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

1608 Road 44
Pasco, WA 99301-2667
Phone: (509) 453-9820
Fax: (509) 545-6275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 560 Gage Blvd Ste 101, Richland, WA 99352-9531 — (509) 942-3286
  • 723 The Pkwy, Richland, WA 99352-4259 — (509) 542-7878

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW61022677 (WA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CO60889540 (WA)
Mental Health Counselor Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X · Licence SC60633484 (WA)

Record details

NPI number1922588094
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LSWAIC , SUDPT
Sole proprietorYes
NPI enumeratedAugust 17, 2018
Last updated in NPPESSeptember 7, 2023
Certification dateSeptember 7, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mindful Therapy Group Pc — 646 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Pasco