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

Mr. Phillip Alan Davis, LSW

Individual provider Clinical Social Worker · NPI 1891370201

Mr. Phillip Alan Davis, LSW is a Clinical Social Worker in Rockford, Illinois. Qualified in 2020, 6 years ago. Practices with Cmc Healthcare LLC, a 130-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2021
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1021 N Mulford Rd
Rockford, IL 61107-3874
Phone: (888) 928-0212
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.027614 (IL)

Record details

NPI number1891370201
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW
Sole proprietorNo
NPI enumeratedMarch 17, 2021
Last updated in NPPESSeptember 27, 2025
Certification dateSeptember 27, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Cmc Healthcare Llc — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rockford