Michelle L Davis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW17064 Issued in FL

Practice address

1480 Royal Palm Beach Blvd Ste C
Royal Palm Beach, FL 33411-1608

Phone

(561) 312-5846

NPI assigned

Feb 18, 2020

Last updated

Jul 27, 2020By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

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.

• Center for Trauma Counseling, Inc.

  • Mental Health Counselor
  • Greenacres, FL
  • NPI 1619360393
  Medicare reassignment NPD
• Mtca Psychological Services P.a.

  • Clinical Psychologist
  • North Miami Beach, FL
  • NPI 1740552322
  Medicare reassignment NPD
• Senior Living Behavioral Health LCSW PLLC

  • Clinical Social Worker
  • New York, NY
  • NPI 1083150056

  FL

  Medicare reassignment NPD
• Michelle Davis LCSW, LLC

  • Clinical Social Worker
  • Royal Palm Beach, FL
  • NPI 1851010367
  NPD Authorized official

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1215560354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 RICH DR",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334066554",
            "telephone_number": "561-312-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 ROYAL PALM BEACH BLVD STE C",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111608",
            "telephone_number": "561-312-5846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6801 Lake Worth Rd Ste 307",
            "address_purpose": "LOCATION",
            "city": "Greenacres",
            "state": "FL",
            "postal_code": "334672966",
            "country_code": "US",
            "telephone_number": "561-444-3914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle@palmbeachmentalhealth.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6801 Lake Worth Rd Ste 307",
            "city": "Greenacres",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334672966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel & Max, LLC (Stanton Optical)
• Coty M Daniels
• Barbara Lisandra Darias Rosell
• Jordan Paul Davis
• Michael E Davis, D.C.
• Maria Sergeevna Davydova
• Bryan M Dawkins, MD
• Sandra Dawkins, REGISTERED NURSE
• Monica Daza, SA-C
• Nathalie C De Fabrique, PSY D

• Clinical Social Worker in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.