Melita J. Davis, L.I.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S31392 Issued in OH

Practice address

18660 Bagley Rd BLDG 1
Cleveland, OH 44130-3483

Phone

(440) 234-8746

Fax

(440) 234-8748

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Melita J. Keim Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1285843482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18660 BAGLEY RD BLDG 1",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303483",
            "telephone_number": "440-234-8746",
            "fax_number": "440-234-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18660 BAGLEY RD BLDG 1",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303483",
            "telephone_number": "440-234-8746",
            "fax_number": "440-234-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MELITA",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "L.I.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "S31392",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S31392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELITA",
            "last_name": "KEIM",
            "middle_name": "J.",
            "credential": "LISW-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margo Davis
• Marika Davis, BSN RN
• Marlone Davis
• Marquita Davis
• Melinda Diane Davis
• Micah D Davis Sr.
• Michael Davis, RN
• Michelle A Davis, NP-C
• Muhammad B Davis I, LPN
• Natorius Davis

• Clinical Social Worker in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.