Active NPI
Nikole Davis
- Social Worker
- Stonington, CT
National Provider Identifier
1174436687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12437
- Practice address
- 22 Bayview Ave
Stonington, CT 06378-1142 - Phone
- (860) 249-1030
- NPI assigned
- Sep 25, 2026
- Last updated
- Sep 25, 2026
- 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 | 12437 | CT | Primary |
Addresses
Primary practice location
22 Bayview Ave
Stonington, CT 06378-1142
Mailing address
633 Norwich Rd
Plainfield, CT 06374-1730
Phone (610) 741-9300
Other names 1
- Nikole Komand
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 |
|---|---|---|---|
| 12437 | CT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1174436687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 NORWICH RD",
"city": "PLAINFIELD",
"state": "CT",
"postal_code": "063741730",
"telephone_number": "610-741-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 BAYVIEW AVE",
"city": "STONINGTON",
"state": "CT",
"postal_code": "063781142",
"telephone_number": "860-249-1030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "NIKOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "12437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NIKOLE",
"last_name": "KOMAND",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Stonington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.