Active NPI
Catherine Redding Davis, LCSW
- Social Worker
- Lake Geneva, WI
National Provider Identifier
1356340483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 149-006676
- Practice address
- 146 E Geneva SQ
Aurora Health Center
Lake Geneva, WI 53147-9694 - Phone
- (262) 249-5000
- NPI assigned
- Jul 20, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 149-006676 | IL | Primary |
| Social Worker | 104100000X | 6114-123 | WI |
Addresses
Primary practice location
146 E Geneva SQ
Aurora Health Center
Lake Geneva, WI 53147-9694
Mailing address
146 E Geneva SQ
Aurora Health Center
Lake Geneva, WI 53147-9694
Phone (262) 249-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05619771 | Other | IL | BCBS |
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 |
|---|---|---|---|
| 149-006676 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizons Behavioral Health LLC | Social Worker | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Social Worker
- Crystal Lake, IL
- NPI 1881692689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256515200000",
"number": "1356340483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 E GENEVA SQ",
"address_2": "AURORA HEALTH CENTER",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531479694",
"telephone_number": "262-249-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 E GENEVA SQ",
"address_2": "AURORA HEALTH CENTER",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531479694",
"telephone_number": "262-249-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CATHERINE",
"middle_name": "REDDING",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-20",
"last_updated": "2009-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "149-006676",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "6114-123",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "05619771",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Geneva, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.