Amanda Lanay Davis, LCSWA
Individual provider Active NPI Clinical Social Worker · Charlotte, NC
NPI 1326709296 · NPPES record last updated Jan 4, 2022
Key facts
- NPI
- 1326709296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- P017053 (NC)
- Practice address
- 769 N Wendover Rd
Charlotte, NC 28211-1118 - Phone
- (704) 376-7180
- Fax
- (704) 531-9266
- NPI assigned
- Jan 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P017053 | NC | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P017053 | NC | Yes |
Addresses
Primary practice location
769 N Wendover Rd
Charlotte, NC 28211-1118
Mailing address
769 N Wendover Rd
Charlotte, NC 28211-1118
Phone (704) 376-7180
Other providers in Charlotte, NC
- Aaron Davis
- Alejandra Davis
- Alexandra Davis
- Alexis Davis
- Alicia Boldt Davis
- Amani Davis
- Amy Pritchard Davis
- Anaya Denise Davis
- Angela Davis
- Angela Catherine Davis
All providers in Charlotte, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.