Individual provider Active NPI

Marissa Greer Davis, LCSW

  • Clinical Social Worker
  • Delhi, LA
National Provider Identifier
1124674973
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12889 Issued in LA
Practice address
109 Elm St
Delhi, LA 71232-2844
Phone
(318) 878-8656
Fax
(318) 878-2831
NPI assigned
Aug 16, 2019
Last updated
Aug 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12889 LA Primary

Addresses

Primary practice location

109 Elm St
Delhi, LA 71232-2844

Mailing address

407 Cincinnati St
Delhi, LA 71232-3007
Phone (318) 878-6376

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

LicenseStateTypeSpecialty
12889LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No 1a of the Parish of Richland State of la Past Accepting new patients
Hospital Service District No 1-a of the Parish of Richland State of la Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1124674973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 CINCINNATI ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712323007",
            "telephone_number": "318-878-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 ELM ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712322844",
            "telephone_number": "318-878-8656",
            "fax_number": "318-878-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARISSA",
        "middle_name": "GREER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "12889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delhi, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.