Active NPI
Nicole N Davis, LSW
- Clinical Social Worker
- Cambridge, OH
National Provider Identifier
1114664786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 2090 North Ave
Cambridge, OH 43725-8804 - Phone
- (740) 201-2522
- NPI assigned
- May 16, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Social Worker | 104100000X |
Addresses
Primary practice location
2090 North Ave
Cambridge, OH 43725-8804
Mailing address
930 Bethesda Dr Unit 4
Zanesville, OH 43701-0815
Phone (740) 569-5737
Other names 1
- Nicole M Davis
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@midohiobh.com |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Ohio Behavioral Health LLC | 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Zanesville, OH
- NPI 1982306932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1114664786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 BETHESDA DR UNIT 4",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437010815",
"telephone_number": "740-569-5737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2090 NORTH AVE",
"city": "CAMBRIDGE",
"state": "OH",
"postal_code": "437258804",
"telephone_number": "740-201-2522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "NICOLE",
"middle_name": "N",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-16",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@midohiobh.com",
"affiliation": "N",
"address_1": "930 Bethesda Dr Unit 4",
"city": "Zanesville",
"state": "OH",
"country_code": "US",
"postal_code": "437010815",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "DAVIS",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cambridge, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.