Trevaughn Davis-Neal, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.016552 Issued in IL

Practice address

9800 Connecticut Dr
Crown Point, IN 46307-7840

Phone

(866) 220-0238

Fax

(866) 222-0631

NPI assigned

May 28, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1003228826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 S EAST ST UNIT 627",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463083450",
            "telephone_number": "866-220-0238",
            "fax_number": "866-222-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 CONNECTICUT DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077840",
            "telephone_number": "866-220-0238",
            "fax_number": "866-222-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-NEAL",
        "first_name": "TREVAUGHN",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lavawn Daugherty-Souther, LPN, IBCLC
• Maria Cecilia Dava, PHYSICAL THERAPIST
• Maria Elvira Dava, OTR/L
• David a. Bleza MD LLC
• Elizabeth Davidson, PHARMD
• Amari Euniece Davis
• Taylor Davitt
• Jordan De Laurentis, LSW
• Tuwanda Dean, RBT
• Carly Dearth

• Clinical Social Worker in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.