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

Individual provider Clinical Social Worker · NPI 1790128494

Ilya V Davidovich, LMSW is a Clinical Social Worker in Monroe, Michigan. Qualified in 2004, 22 years ago. Practices with Jewish Family Services of Washtenaw County Inc, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
22
Licensed in
MI
In the registry since
2013
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

1001 S Raisinville Rd
Monroe, MI 48161-9754
Phone: (734) 384-0305
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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 6801087558 (MI)

Record details

NPI number1790128494
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorYes
NPI enumeratedApril 11, 2013
Last updated in NPPESApril 11, 2013

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Jewish Family Services Of Washtenaw County Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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