Individual provider Active NPI

Ebony Davis, LCSW-C

  • Clinical Social Worker
  • Laurel, MD
National Provider Identifier
1275220311
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18606 Issued in MD
Practice address
7580 Cherry LN
Laurel, MD 20707-5551
Phone
(202) 670-4668
NPI assigned
Apr 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 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 18606 MD Primary

Addresses

Primary practice location

7580 Cherry LN
Laurel, MD 20707-5551

Mailing address

7580 Cherry LN
Laurel, MD 20707-5551
Phone (240) 481-8810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20250324000210 DC Practitioner - Clinical Social Worker 8729500418 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18606MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Feb 21, 2025 Accepting new patients
Butler & Davis Consulting LLC CurrentSince Jun 26, 2025 Accepting new patients

Locations

6701 Democracy Blvd
Ste 300
Bethesda, MD 20817
Phone (443) 351-4650

9658 Baltimore Ave
Ste 300
College Park, MD 20740
Phone (240) 283-5595

9658 Baltimore Ave
Ste 450
College Park, MD 20740
Phone (202) 670-4668

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

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": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1275220311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075551",
            "telephone_number": "240-481-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075551",
            "telephone_number": "202-670-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "EBONY",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.