Amanda Carol Davis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006985 Issued in VA

Practice address

7303 Hull Street Rd
Richmond, VA 23235-5805

Phone

(804) 674-9375

NPI assigned

Apr 27, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• District 19 Community Services Board

  • Community/Behavioral Health Agency
  • Petersburg, VA
  • NPI 1225094451
  NPD (past)
• Tri Cities Counseling Services LLC

  • Clinical Social Worker
  • Colonial Heights, VA
  • NPI 1649315847
  NPD (past)

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1255575882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 W GRACE ST",
            "address_2": "APT. 1",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232211449",
            "telephone_number": "757-724-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7303 HULL STREET RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232355805",
            "telephone_number": "804-674-9375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1608 Westhill Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232263824",
            "country_code": "US",
            "telephone_number": "757-724-2256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AMANDA",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-27",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Dale Davidson, LCSW
• Alexandria Eden Davies, PHD, LCP
• Caitlyn Davies, PT, DPT, NCS
• Miguel Davilla
• Monica Michelle Davis-Boulden
• Andrea J. Davis, LPC
• Areyon Davis
• Ashlee Davis
• Ashley L Davis, PHARMD
• Avrielle Davis, NP

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.