Active NPI
Wendy J Davis, LSW
- Social Worker
- Sicklerville, NJ
National Provider Identifier
1184189243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW012409L
- Practice address
- 6 Michael Rd
Sicklerville, NJ 08081-4930 - Phone
- (215) 740-9800
- NPI assigned
- Feb 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | SW012409L | PA | Primary |
Addresses
Primary practice location
6 Michael Rd
Sicklerville, NJ 08081-4930
Mailing address
6 Michael Rd
Sicklerville, NJ 08081-4930
Phone (215) 740-9800
Other names 1
- Ms. Wendy C. Johnson
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 |
|---|---|---|---|
| SW012409L | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549238400000",
"number": "1184189243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 MICHAEL RD",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080814930",
"telephone_number": "215-740-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 MICHAEL RD",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080814930",
"telephone_number": "215-740-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "WENDY",
"middle_name": "J",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-04",
"last_updated": "2019-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW012409L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WENDY",
"last_name": "JOHNSON",
"middle_name": "C.",
"prefix": "MS.",
"credential": "LSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sicklerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.