Natonia Sherie Davis, LCSW, MBA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 9617 Issued in FL

Practice address

5663 Greenland Rd
Jacksonville, FL 32258-3329

Phone

(904) 302-9355

Fax

(844) 528-1420

NPI assigned

Mar 18, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, TX, FL3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

State licenses

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.

• Social Work Ceo, LLC

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1235825092

  GA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1154645240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 ARLINGTON EXPY",
            "address_2": "B105 #2084",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322113347",
            "telephone_number": "904-302-9355",
            "fax_number": "844-528-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5663 GREENLAND RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322583329",
            "telephone_number": "904-302-9355",
            "fax_number": "844-528-1420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4290 Bells Ferry Rd NW Ste 134-2280",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301447140",
            "country_code": "US",
            "telephone_number": "904-302-9355",
            "fax_number": "844-528-1420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6501 Arlington Expy Ste B105",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322110810",
            "country_code": "US",
            "telephone_number": "904-302-9355",
            "fax_number": "844-528-1420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NATONIA",
        "middle_name": "SHERIE",
        "name_prefix": "Ms.",
        "credential": "LCSW, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-18",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "104470",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005278",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 9617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Camille Davis
• Mario T Davis
• Marsha Yvette Davis
• Meghan Davis, PMHNP-BC
• Myesha Davis, PHARMD
• Olivia Davis, MS, OTR/L
• Peter Glenn Davis, MD
• Priscilla Yapibe Davis, APRN
• Racheal Renee Davis, MSN, CRNA, ARNP
• Richard Davis

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.