Barry Davis, LCSW-E

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0713511 Issued in NY

Practice address

4 Avis Dr Ste 100
Latham, NY 12110-2650

Phone

(518) 560-4277

NPI assigned

Mar 9, 2018

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 20, 2018 through Mar 20, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1063915783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 AVIS DR STE 100",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 AVIS DR STE 100",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102650",
            "telephone_number": "518-560-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BARRY",
        "credential": "LCSW-E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0713511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Issa Wissam Daoui, DMD
• Jessica Davey, LCSW
• Niccole Davey, FNP-BC
• David F. Cryns, D.O., OB /GYN
• David J. Vallecorsa DDS PLLC
• Emily Davis, MA, LMHC
• James Sherwood Davis Jr., MS, CAS, LMHC
• Portia O Davis, FNP
• Michele Day, LMHC
• Elsa I Deboy, PHARMD

• Clinical Social Worker in Latham, NY
• Providers in Latham, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.