Marissa Greer Davis, LCSW

Individual provider Active NPI Clinical Social Worker · Delhi, LA

NPI 1124674973 · NPPES record last updated Aug 16, 2019

Key facts

NPI
1124674973
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
12889 (LA)
Practice address
109 Elm St
Delhi, LA 71232-2844
Phone
(318) 878-8656
Fax
(318) 878-2831
NPI assigned
Aug 16, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12889LAMDClinical Social Worker

Specialties & licenses

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

Addresses

Primary practice location

109 Elm St
Delhi, LA 71232-2844

Mailing address

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

Other providers in Delhi, LA

All providers in Delhi, LA · Clinical Social Worker in Louisiana

Sources for this page

Verify at the official NPI Registry.