Active NPI
Greta Marie Davis, LCSW-R
- Clinical Social Worker
- Rochester, NY
National Provider Identifier
1326323932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 072183-1
- Practice address
- 54 Oakman St
Rochester, NY 14605-1135 - Phone
- (585) 325-2920
- Fax
- (585) 262-8885
- NPI assigned
- Oct 14, 2011
- 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 | 072183-1 | NY | Primary |
Addresses
Primary practice location
54 Oakman St
Rochester, NY 14605-1135
Mailing address
131 W Broad St
Rochester, NY 14614-1103
Phone (585) 262-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072183-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1326323932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 W BROAD ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146141103",
"telephone_number": "585-262-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 OAKMAN ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146051135",
"telephone_number": "585-325-2920",
"fax_number": "585-262-8885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "GRETA",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "LCSW-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-14",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "072183-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.