Active NPI
Patricia Gordon Davis, ISW
- Counselor
- Miami, FL
National Provider Identifier
1205928215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 28 W Flagler St
Suite 300
Miami, FL 33130-1806 - Phone
- (305) 349-1337
- NPI assigned
- Sep 28, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Clinical Social Worker | 1041C0700X | ISW6114 | FL |
Addresses
Primary practice location
28 W Flagler St
Suite 300
Miami, FL 33130-1806
Mailing address
28 W Flagler St
Suite 300
Miami, FL 33130-1806
Phone (305) 349-1337
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4660 | Other | FL | FLORIDA CERTIFICATION BOARD |
| ISW6114 | Other | FL | FLORIDA DOH |
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 |
|---|---|---|---|
| ISW6114 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329177600000",
"number": "1205928215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 W FLAGLER ST",
"address_2": "SUITE 300",
"city": "MIAMI",
"state": "FL",
"postal_code": "331301806",
"telephone_number": "305-349-1337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 W FLAGLER ST",
"address_2": "SUITE 300",
"city": "MIAMI",
"state": "FL",
"postal_code": "331301806",
"telephone_number": "305-349-1337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "PATRICIA",
"middle_name": "GORDON",
"credential": "ISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2012-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "ISW6114",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA CERTIFICATION BOARD",
"identifier": "4660",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA DOH",
"identifier": "ISW6114",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.