Active NPI
Felita Andrea Davis, LCSW, CSAC
- Clinical Social Worker
- Chesapeake, VA
National Provider Identifier
1093097412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904007727
- Practice address
- 609 Independence Pkwy
Ste. 115
Chesapeake, VA 23320-5209 - Phone
- (757) 312-8002
- Fax
- (757) 312-9299
- NPI assigned
- Sep 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904007727 | VA | Primary |
Addresses
Primary practice location
609 Independence Pkwy
Ste. 115
Chesapeake, VA 23320-5209
Mailing address
824 Catrina LN
Chesapeake, VA 23322-6858
Phone (757) 667-0188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904007727 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian Psychotherapy Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Virginia Beach, VA
- NPI 1437247723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315785600000",
"number": "1093097412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 CATRINA LN",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233226858",
"telephone_number": "757-667-0188",
"fax_number": "757-410-3578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 INDEPENDENCE PKWY",
"address_2": "STE. 115",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233205209",
"telephone_number": "757-312-8002",
"fax_number": "757-312-9299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "FELITA",
"middle_name": "ANDREA",
"name_prefix": "Mrs.",
"credential": "LCSW, CSAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-12",
"last_updated": "2011-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904007727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.