Latoya F Davis, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P014041 Issued in NC

Practice address

324 Person St
Fayetteville, NC 28301-5736

Phone

(910) 797-4237

NPI assigned

Oct 6, 2020

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)

Not enrolled

State licenses

Practice roles

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.

• Carolina Outreach, LLC

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1134684392
  NPD (past)

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662768000000",
    "number": "1023615655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 PERSON ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015736",
            "telephone_number": "910-797-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 PERSON ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015736",
            "telephone_number": "910-797-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LATOYA",
        "middle_name": "F",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2022-09-10",
        "certification_date": "2021-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Davis, MSW, LCSWA
• Jeffrey Dean Davis, DO
• Jennifer Davis, LMFT-A
• Jennifer Kinlaw Davis, MSCCC-SLP
• Jeremiah C. Davis, DDS, MBA
• Latundra Davis, NP
• Lauren Elaine Davis, MD
• Leesa Davis, CRNA
• Lynette Gray Davis, LCMHC
• Margaret Jean Davis, FNP-BC

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.