Active NPI
Carol Davis-Hargest, BS., M.ED.
- Case Manager/Care Coordinator
- Philadelphia, PA
National Provider Identifier
1134424518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1216 Arch St FL 6
Philadelphia, PA 19107-2835 - Phone
- (215) 981-0088
- NPI assigned
- Jan 17, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1216 Arch St FL 6
Philadelphia, PA 19107-2835
Mailing address
1216 Arch St FL 6
Philadelphia, PA 19107-2835
Phone (215) 981-0088
Other practice location 1
405 S State St
Champaign, IL 61820-5129
Phone (217) 352-0099 ext. 154
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
- Credentials
- Bachelor of Science, Master of Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Actionaids, Inc. | Social Worker | Current | Accepting new patients |
Locations
1216 Arch St
Fl 6
Philadelphia, PA 19107
Phone (215) 981-0088
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1134424518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1216 ARCH ST FL 6",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191072835",
"telephone_number": "215-981-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 ARCH ST FL 6",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191072835",
"telephone_number": "215-981-0088"
}
],
"practiceLocations": [
{
"address_1": "405 S State St",
"address_purpose": "LOCATION",
"city": "Champaign",
"state": "IL",
"postal_code": "618205129",
"country_code": "US",
"telephone_number": "217-352-0099 x154",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS-HARGEST",
"first_name": "CAROL",
"credential": "BS., M.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-17",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.