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

Nina Davenport

Individual provider Mental Health Counselor · NPI 1699312116

Nina Davenport is a Clinical Social Worker in Vancouver, Washington. Qualified in 2011, 15 years ago. Practices with Peacehealth, a 248-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
15
Licensed in
WA
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

6926 NE Fourth Plain Blvd
Vancouver, WA 98661-7254
Phone: (360) 993-3000
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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 SC61021135 (WA)
Mental Health Counselor Taxonomy 101YM0800X
Social Worker Taxonomy 104100000X · Licence SC61021135 (WA)

Record details

NPI number1699312116
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 3, 2019
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Peacehealth — 248 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Vancouver