Melissa Richardson Davis, LCSW, LCAS, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005396 Issued in NC

Practice address

14680 US Highway 17 N
Hampstead, NC 28443-3504

Phone

(910) 319-1605

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Superior Innovative Services, LLC

  • In Home Supportive Care Agency
  • Castle Hayne, NC
  • NPI 1164795530
  NPD (past) Authorized official

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1336298868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284430308",
            "telephone_number": "910-319-1605",
            "fax_number": "910-319-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14680 US HIGHWAY 17 N",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433504",
            "telephone_number": "910-319-1605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 Hampstead Vlg",
            "address_purpose": "LOCATION",
            "city": "Hampstead",
            "state": "NC",
            "postal_code": "284438277",
            "country_code": "US",
            "telephone_number": "910-319-1605",
            "fax_number": "910-319-0645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15444 US HWY 17 N",
            "address_purpose": "LOCATION",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "28443",
            "country_code": "US",
            "telephone_number": "910-319-1605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MELISSA",
        "middle_name": "RICHARDSON",
        "name_prefix": "Miss",
        "credential": "LCSW, LCAS, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "15514",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "C005396",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106732",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda D Culp-Roche, APRN
• Daniel G. Miller, DDS, Fagd, PLLC
• Charles W Davis II
• Dennis Wayne Davis Sr., OPTICIAN
• Diana Davis, RD, LDN
• Trisha Ashley Deane, OTR/L
• Paola Beatriz Delgado, MS, CCC-SLP
• Dale Paris Depue, PT
• Diana Davis Nutrition Consulting LLC
• Justine M Diener O'Leary, LP, HSP-P

• Clinical Social Worker in Hampstead, NC
• Providers in Hampstead, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.