Active NPI
Michanne M Davis
- Clinical Social Worker
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1200901-SUPV
- Practice address
- 4700 E Galbraith Rd Ste 202
Cincinnati, OH 45236-2754 - Phone
- (513) 891-5532
- Fax
- (513) 924-8369
- NPI assigned
- Mar 29, 2021
- Sex
- Female
- Sole proprietor
- No
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 | I.1200901-SUPV | OH | Primary |
Addresses
Primary practice location
4700 E Galbraith Rd Ste 202
Cincinnati, OH 45236-2754
Mailing address
4700 E Galbraith Rd Ste 202
Cincinnati, OH 45236-2754
Phone (513) 891-5532
Other practice location 1
225 Calhoun St Ste 200
Cincinnati, OH 45219-1893
Phone (513) 556-0648
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4700 E Galbraith Rd
Suite 202
Cincinnati, OH 45236-2754
Phone (513) 891-5532
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Cincinnati Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Cincinnati Specialty Care LLC | Current | Accepting new patients | |
| University of Cincinnati Counseling & Psychological Services | Past | Accepting new patients |
Locations
4700 E Galbraith Rd
Ste 202
Cincinnati, OH 45236
Phone (513) 418-5700
1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000
201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100
Organizations & group practices 3
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.
-
- Surgery Physician
- Blue Ash, OH
- NPI 1154942795
-
- Durable Medical Equipment & Medical Supplies
- Liberty TWP, OH
- NPI 1730993270
-
- School Psychologist
- Cincinnati, OH
- NPI 1558425363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1104404680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 E GALBRAITH RD STE 202",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452362754",
"telephone_number": "513-891-5532",
"fax_number": "513-924-8369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 E GALBRAITH RD STE 202",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452362754",
"telephone_number": "513-891-5532",
"fax_number": "513-924-8369"
}
],
"practiceLocations": [
{
"address_1": "225 Calhoun St Ste 200",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452191893",
"country_code": "US",
"telephone_number": "513-556-0648",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "MICHANNE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-29",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1200901-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.