Davina'S Haven LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DAVINA'S HAVEN LLC

Practice address

4405 Jager Dr NE Ste C4
Rio Rancho, NM 87144-5715

Phone

(505) 906-0002

NPI assigned

Dec 12, 2024

Organization subpart

No

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

Authorized official

Name

Danielray Moises Blea SmithNPI 1407401136

Title

Owner/Director

Phone

(505) 906-0002

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danielray Moises Blea Smith, LCSW

  • Clinical Social Worker
  • Carlsbad, NM
  • NPI 1407401136
  NPD (past) Authorized official

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740182400000",
    "number": "1003623018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 JAGER DR NE STE C4",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871445715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 JAGER DR NE STE C4",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871445715",
            "telephone_number": "505-906-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVINA'S HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A",
        "authorized_official_last_name": "BLEA SMITH",
        "authorized_official_first_name": "DANIELRAY",
        "authorized_official_middle_name": "MOISES",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "505-906-0002"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Daniels, BMS
• Nancy Page Dashwood
• Brandon Jacob Daugherty
• Felicia Davenport-Deves, CPSW
• Sean Davila, PHD, CNS (NM)
• Rebecca Kathleen Davis-Duran, LCSW
• Clarence Davis, BMS
• Corina A Davis
• Hope Ava Marie Davis
• Kara Michelle Davis

• Clinical Social Worker in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2025; 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.