Individual provider Active NPI

Rachel Rhiannon Davis, LICSW

  • Clinical Social Worker
  • Inwood, WV
National Provider Identifier
1285257253
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00944764 Issued in WV
Practice address
119 Sader Dr Ste 4
Inwood, WV 25428-3915
Phone
(240) 406-9339
NPI assigned
May 25, 2020
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X BP00944764 WV
Clinical Social Worker 1041C0700X DP00944764 WV Primary

Addresses

Primary practice location

119 Sader Dr Ste 4
Inwood, WV 25428-3915

Mailing address

61 Powder Mill CT
Inwood, WV 25428-4619
Phone (540) 514-4814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20230908000180 WV Practitioner - Clinical Social Worker 1153785290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

119 Sader Dr
Suite 4
Inwood, WV 25428-3915
Phone (240) 406-9339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BP00944764WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Humankind PLLC Clinical CurrentSince Jul 9, 2023 Accepting new patients

Locations

119 Sader Dr
Ste 4
Inwood, WV 25428
Phone (240) 406-9339

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1285257253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 POWDER MILL CT",
            "city": "INWOOD",
            "state": "WV",
            "postal_code": "254284619",
            "telephone_number": "540-514-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 SADER DR STE 4",
            "city": "INWOOD",
            "state": "WV",
            "postal_code": "254283915",
            "telephone_number": "240-406-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RACHEL",
        "middle_name": "RHIANNON",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-25",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "BP00944764",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00944764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inwood, WV

Sources for this page

Verify at the official NPI Registry.