Active NPI
Rachel Shayna Davis, LCSW-C
- Clinical Social Worker
- Gaithersburg, MD
National Provider Identifier
1285056812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19327
- Practice address
- 16220 Frederick Rd
Suite 310
Gaithersburg, MD 20877-4039 - Phone
- (301) 345-1022
- Fax
- (301) 560-5558
- NPI assigned
- Jan 16, 2014
- 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 | 19327 | MD | Primary |
Addresses
Primary practice location
16220 Frederick Rd
Suite 310
Gaithersburg, MD 20877-4039
Mailing address
7474 Greenway Center Dr
Suite 730
Greenbelt, MD 20770-3504
Phone (301) 345-1022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19327 | MD | MD | Pharmacist |
Organizations & group practices 1
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": "1389830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433808000000",
"number": "1285056812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7474 GREENWAY CENTER DR",
"address_2": "SUITE 730",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703504",
"telephone_number": "301-345-1022",
"fax_number": "301-560-5558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16220 FREDERICK RD",
"address_2": "SUITE 310",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208774039",
"telephone_number": "301-345-1022",
"fax_number": "301-560-5558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "RACHEL",
"middle_name": "SHAYNA",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-16",
"last_updated": "2015-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "19327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.