Sondra Davis, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

22377 Issued in MD

Practice address

1829 Reisterstown Rd Ste 460
Baltimore, MD 21208-7107

Phone

(443) 354-1200

Fax

(410) 553-0019

NPI assigned

Apr 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

My Mental Health LLCGroup PAC ID 1456584341, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• My Mental Health, LLC

  • Psychiatry Physician
  • Glen Burnie, MD
  • NPI 1801210349

  MD

  Medicare reassignment Care Compare group
• Arman C. Moshyedi, MD, LLC

  • Psychiatry Physician
  • Kensington, MD
  • NPI 1578126306
  NPD (past)

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1194288936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S STE 503",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616443",
            "telephone_number": "443-354-1200",
            "fax_number": "410-553-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 REISTERSTOWN RD STE 460",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212087107",
            "telephone_number": "443-354-1200",
            "fax_number": "410-553-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SONDRA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "22377",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "22377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Risa Davis, BA, ADT
• Sara Davis, BCBA
• Sara Ronni Davis, LGSW
• Shamika Davis
• Siminka Davis, PHARMD
• Stephanie Ann Davis
• Stephanie Ersi Davis, MD, PHD
• Stephanie Lyn Davis, PHARM.D.
• Stephanie Lynn Davis, MD
• Stephen Neil Davis, MD

• All providers in Baltimore, MD
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.