Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Simone Leronia Davenport-Tate, LCSW

Individual provider Clinical Social Worker · NPI 1811671407

Simone Leronia Davenport-Tate, LCSW is a Clinical Social Worker in West Haven, Connecticut. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Connecticut.

Years since qualifying
5
Licensed in
CT
In the registry since
2023
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

89 Coleman St Apt 634
West Haven, CT 06516-7413
Phone: (203) 278-2845
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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 15105 (CT)

Record details

NPI number1811671407
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 14, 2023
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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