Active NPI
Shondra Davis, LMSW
- Social Worker
- Baton Rouge, LA
National Provider Identifier
1134574270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M8637
- Practice address
- 7850 Anselmo LN Ste B
Baton Rouge, LA 70810-1101 - Phone
- (225) 761-3140
- NPI assigned
- Apr 26, 2016
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15477 | LA | |
| Recreation Therapist | 225800000X | 58766 | MS | |
| Social Worker | 104100000X | M8637 | MS | Primary |
Addresses
Primary practice location
7850 Anselmo LN Ste B
Baton Rouge, LA 70810-1101
Mailing address
809 Summer Breeze Dr Apt 1208
Baton Rouge, LA 70810-6380
Phone (601) 214-7688
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
| License | State | Type | Specialty |
|---|---|---|---|
| M8637 | MS | MD | Social Worker |
| 15477 | LA | MD | Clinical Social Worker |
| 58766 | MS | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699660800000",
"number": "1134574270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 SUMMER BREEZE DR APT 1208",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708106380",
"telephone_number": "601-214-7688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7850 ANSELMO LN STE B",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708101101",
"telephone_number": "225-761-3140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SHONDRA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-26",
"last_updated": "2023-11-11",
"certification_date": "2023-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "15477",
"primary": false
},
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "MS",
"license": "58766",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MS",
"license": "M8637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.