Shnika Davis

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C010447 Issued in NC

Practice address

1603 Godwin Ave
Suite B
Lumberton, NC 28358-4207

Phone

(910) 876-0251

Fax

(910) 608-2225

NPI assigned

Jan 19, 2015

Last updated

Jun 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pace Health Network, LLC

  • Psychiatry Physician
  • Whiteville, NC
  • NPI 1063960904
  Medicare reassignment NPD
• I Rock Therapy Counseling & Consulting Services PLLC

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1891380721
  NPD Authorized official
• The Growth Center

  • Community/Behavioral Health Agency
  • Lumberton, NC
  • NPI 1477942472
  NPD (past) Authorized official

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1184013898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 N MCPHERSON CHURCH RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034495",
            "telephone_number": "910-876-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 GODWIN AVE",
            "address_2": "SUITE B",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283584207",
            "telephone_number": "910-876-0251",
            "fax_number": "910-608-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SHNIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-19",
        "last_updated": "2024-06-17",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonna Morrison Davis, MSW
• Joseph E Davis Jr., LCSW
• Karen Davis, M.ED.,CCC-SLP
• Matthew Scott Davis, P.A.
• Megan Davis, OTR/L
• Strange Lamil Dawkins, DPT
• Candace Locklear Dean, FNP
• Christian T Debeck, M.D.
• Brianna Celine Dedeaux
• Adrian Deese, M.D.

• Clinical Social Worker in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.