Natalie Davis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17797 Issued in AZ

Practice address

20840 N 21St Ave
Phoenix, AZ 85027-3434

Phone

(602) 596-2910

NPI assigned

Mar 19, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

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.

• BBS Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1326804881
  Medicare reassignment NPD
• Mindfully Integrated Health PLLC

  • Psychiatry Physician
  • Scottsdale, AZ
  • NPI 1083102826
  Medicare reassignment NPD
• Anew State of Mind

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1184336463
  NPD Authorized official

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

{
    "created_epoch": "1458345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1386005270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20840 N 21ST AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273434",
            "telephone_number": "602-596-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20840 N 21ST AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273434",
            "telephone_number": "602-596-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NATALIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-19",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "17797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094835",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ndavis@anewstateofmindaz.com",
            "affiliation": "N",
            "endpointDescription": "Direct confidential email",
            "address_1": "20840 N 21st Ave",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850273434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lynne S Davis, LAC
• Marcia Camille Davis, NURSE PRACTITIONER
• Martha Davis
• Michelle Davis, PA
• Michelle Mamaril Davis, DNP, CNM
• Nathan William Davis, M.A.
• Neeshonah Davis, CMA
• Nicholas Davis, PA-C
• Nicole M Davis, FNP-BC
• Nytisha Davis, PHLEBOTOMIST

• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.