Organization Active NPI

N Davis Counseling

  • Clinical Social Worker
  • Hollywood, FL
National Provider Identifier
1205433950
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
N DAVIS COUNSELING
Practice address
3901 N 39TH Ave
Hollywood, FL 33021-1807
Phone
(786) 353-5372
NPI assigned
Oct 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Mrs. Nili Elana Davis, LCSWNPI 1639343437
Title
Manager
Phone
(617) 459-5159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3901 N 39TH Ave
Hollywood, FL 33021-1807

Mailing address

3901 N 39TH Ave
Hollywood, FL 33021-1807
Phone (617) 459-5159

Other identifiers 1

IdentifierTypeStateIssuer
1639343437OtherFLNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL simplepractice.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1205433950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 N 39TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211807",
            "telephone_number": "617-459-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 N 39TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211807",
            "telephone_number": "786-353-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N DAVIS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "NILI",
        "authorized_official_middle_name": "ELANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-459-5159",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639343437",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "Can send client information HIPAA compliant",
            "address_1": "3901 N 39th Ave",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330211807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.