Skye Davis, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18849 Issued in MN

Practice address

5701 Shingle Creek Pkwy Ste 550
Brooklyn Center, MN 55430-2475

Phone

(763) 560-9621

NPI assigned

May 6, 2011

Sex

Female

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

Enrolled in MN

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.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Locations

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.

• Twins Healing Center LLC

  • Adult Mental Health Clinic/Center
  • Minneapolis, MN
  • NPI 1891329439
  Medicare reassignment NPD
• Pathway Minnesota

  • Community/Behavioral Health Agency
  • Brooklyn Center, MN
  • NPI 1558781369
  NPD
• Behavior Health, LLC

  • Community/Behavioral Health Agency
  • Brooklyn Center, MN
  • NPI 1457897563
  NPD (past)

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642809600000",
    "number": "1073805263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 E 26TH ST",
            "address_2": "STE 8",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061313",
            "telephone_number": "763-560-9621",
            "fax_number": "763-560-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 SHINGLE CREEK PKWY STE 550",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302475",
            "telephone_number": "763-560-9621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9800 SHELARD PKWY",
            "address_2": "STE 335",
            "address_purpose": "LOCATION",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416411",
            "country_code": "US",
            "telephone_number": "763-522-0100",
            "fax_number": "763-588-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SKYE",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-06",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy M Danielson, PA-C
• Je Well Davis
• Julie Davis
• Keyairra T Davis
• Sarah Rachael Davis, RDH
• Tajerra M Davis
• Carl Dean, M.D.
• Samantha Rose Deason
• Deende LLC
• Katherine Degear

• Clinical Social Worker in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.