Individual provider Active NPI

Margaret Anne Davis, LLMSW

  • Clinical Social Worker
  • Muskegon, MI
National Provider Identifier
1003542085
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851115442 Issued in MI
Practice address
3925 Heights Ravenna Rd
Muskegon, MI 49444-4121
Phone
(616) 334-3643
NPI assigned
Aug 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851115442 MI Primary

Addresses

Primary practice location

3925 Heights Ravenna Rd
Muskegon, MI 49444-4121

Mailing address

3925 Heights Ravenna Rd
Muskegon, MI 49444-4121
Phone (616) 334-3643

Other names 1

  • Margaret Anne Jakobcic Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6851115442MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Serenity Counseling Services LLC Clinical CurrentSince Dec 29, 2024 Accepting new patients

Locations

950 Taylor Ave
Ste 100
Grand Haven, MI 49417
Phone (616) 402-8327

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1003542085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 HEIGHTS RAVENNA RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494444121",
            "telephone_number": "616-334-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 HEIGHTS RAVENNA RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494444121",
            "telephone_number": "616-334-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARGARET",
        "middle_name": "ANNE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851115442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "JAKOBCIC",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.