Active NPI
Nicole C Davis, MSW, LCSW
- Clinical Social Worker
- Bear, DE
National Provider Identifier
1376415810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- Q1-0001588
- Practice address
- 1107 Quintilio Dr
Bear, DE 19701 - Phone
- (302) 276-9590
- NPI assigned
- Sep 23, 2025
- 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 | Q1-0001588 | DE | Primary |
Addresses
Primary practice location
1107 Quintilio Dr
Bear, DE 19701
Mailing address
135 Auckland Dr
Newark, DE 19702-4257
Phone (856) 905-1510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
20 Penn Mart Ctr
Pm215
New Castle, DE 19720
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q1-0001588 | DE | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diversity Care NP Group LLC | Clinical | Current | Accepting new patients |
Locations
1107 Quintilio Dr
Bear, DE 19701
Phone (302) 276-9590
1107 Quintilio Dr
Bear, DE 19701
Phone (302) 276-9590
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1376415810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 AUCKLAND DR",
"city": "NEWARK",
"state": "DE",
"postal_code": "197024257",
"telephone_number": "856-905-1510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 QUINTILIO DR",
"city": "BEAR",
"state": "DE",
"postal_code": "19701",
"telephone_number": "302-276-9590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "NICOLE",
"middle_name": "C",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-23",
"last_updated": "2025-10-24",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DE",
"license": "Q1-0001588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bear, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.