Individual provider Active NPI

Melissa Davis, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1245440718
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3515 Issued in KY
Practice address
130 Fairfax Ave Ste LLC
Louisville, KY 40207-4939
Phone
(502) 653-7211
Fax
(502) 416-0723
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3515 KY Primary

Addresses

Primary practice location

130 Fairfax Ave Ste LLC
Louisville, KY 40207-4939

Mailing address

130 Fairfax Ave Ste LLC
Louisville, KY 40207-4939
Phone (502) 653-7211

Other practice location 1

3027 Preston Hwy
Louisville, KY 40217-1716
Phone (502) 653-7211

Other names 1

  • Melissa Davis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20140418000616 KY Practitioner - Clinical Social Worker 2769614080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renew Counseling LLC 10 clinicians

Practice addresses (Care Compare)

214 Breckenridge LN
Suite 114
Louisville, KY 40207-3868
Phone (502) 653-7211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3515KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Counseling, LLC CurrentSince Sep 18, 2024 Accepting new patients
US Psychiatry PLLC Past Accepting new patients

Locations

3027 Preston Hwy
Louisville, KY 40217
Phone (502) 653-7211

214 Breckenridge Ln
Ste 114
Louisville, KY 40207
Phone (502) 554-2439

130 Fairfax Ave
Ste Llc
Louisville, KY 40207
Phone (502) 653-7211

802 Stone Creek Pkwy
Ste 1A
Louisville, KY 40223
Phone (502) 653-7211

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1245440718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 FAIRFAX AVE STE LLC",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074939",
            "telephone_number": "502-653-7211",
            "fax_number": "502-416-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FAIRFAX AVE STE LLC",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074939",
            "telephone_number": "502-653-7211",
            "fax_number": "502-416-0723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3027 Preston Hwy",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171716",
            "country_code": "US",
            "telephone_number": "502-653-7211",
            "fax_number": "502-416-0723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "DAVIS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.