Active NPI
Melissa Davis, LCSW
- Clinical Social Worker
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3515
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3515 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renew Counseling, LLC | Current | 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.
-
- Psychiatry Physician
- Louisville, KY
- NPI 1902255359
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.