Shawn Lee Davis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

102234 Issued in NY

Practice address

323 N Tioga St
Ithaca, NY 14850-4205

Phone

(607) 734-2548

Fax

(607) 442-1209

NPI assigned

Mar 21, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Integrity Social Work Services LLCGroup PAC ID 4880609528, 74 clinicians

Pathways, Inc.Group PAC ID 7416329008, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pathways, Inc.

  • Social Worker
  • Corning, NY
  • NPI 1396896486
  Medicare reassignment Care Compare group NPD
• Integrity Social Work Services LLC

  • Mental Health Counselor
  • Staten Island, NY
  • NPI 1972715456
  Medicare reassignment Care Compare group
• Erwin Psychiatric NP PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Corning, NY
  • NPI 1639939069
  NPD

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1356090187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 DENISON PKWY W",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302613",
            "telephone_number": "607-936-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 N TIOGA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504205",
            "telephone_number": "607-734-2548",
            "fax_number": "607-442-1209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Corning",
            "state": "NY",
            "postal_code": "148302715",
            "country_code": "US",
            "telephone_number": "607-936-1771 x115",
            "fax_number": "607-936-2648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3635 Bell Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "NY",
            "postal_code": "113612097",
            "country_code": "US",
            "telephone_number": "718-504-9256 x49256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SHAWN",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "102234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elmina David, M.S., CF-SLP
• Bonita Ann Davis, RD
• Jane Maria Davis
• Lori Davis, NP
• Marie Davis
• Davita of New York Inc
• Renata Mae Dawson, RN
• Ali Sabior Dawuda, M.D
• Day Care & Child Development Council of Tompkins County, Inc.
• Andreia Pereira De Lima, MD

• Clinical Social Worker in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.