Active NPI
Gina Deshon Davis, LBSW
- Social Worker
- Southfield, MI
National Provider Identifier
1134930415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6802076288
- Practice address
- 27680 Franklin Rd
Southfield, MI 48034-8203 - Phone
- (248) 557-0111
- Fax
- (248) 557-0444
- NPI assigned
- Jan 16, 2025
- Last updated
- Jan 16, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6802076288 | MI | Primary |
Addresses
Primary practice location
27680 Franklin Rd
Southfield, MI 48034-8203
Mailing address
24875 Novi Rd Unit 7093
Novi, MI 48376-7760
Phone (248) 636-0870
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 |
|---|---|---|---|
| 6802076288 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Home Health Care Services, LLC | Current | Accepting new patients | |
| Hope Hospice and Palliative Care LLC | Current | Accepting new patients |
Locations
27680 Franklin Rd
Southfield, MI 48034
Phone (248) 557-0111
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.
-
- Home Health Agency
- Southfield, MI
- NPI 1457503831
-
- Community Based Hospice Care Agency
- Southfield, MI
- NPI 1700487550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1134930415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24875 NOVI RD UNIT 7093",
"city": "NOVI",
"state": "MI",
"postal_code": "483767760",
"telephone_number": "248-636-0870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27680 FRANKLIN RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480348203",
"telephone_number": "248-557-0111",
"fax_number": "248-557-0444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "GINA",
"middle_name": "DESHON",
"credential": "LBSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-16",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6802076288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.