Jeffrey Davis, LMSW
Individual provider Active NPI Clinical Social Worker · Cass City, MI
NPI 1023550779 · NPPES record last updated Nov 12, 2016
Key facts
- NPI
- 1023550779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801067616 (MI)
- Practice address
- 6627 Rose St
Cass City, MI 48726-1262 - Phone
- (989) 872-1600
- NPI assigned
- Nov 12, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801067616 | MI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801067616 | MI | Yes |
Addresses
Primary practice location
6627 Rose St
Cass City, MI 48726-1262
Mailing address
905 W Burnside St
Caro, MI 48723-1488
Phone (989) 751-5300
Other providers in Cass City, MI
- Becky L Cripps
- Cherryl Crittenden
- Ashley Cummings
- Katriana Curtoys
- Alexandra Paige Davis
- Danniele Dekoski
- Misty L Delong
- Tori Dooley
- Connor Dunham
- Ruby Eagle
All providers in Cass City, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.