Rebecca Davis, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149015048 Issued in IL

Legal business name

REBECCA DAVIS, MSW, LCSW

Practice address

2113 W Caton St
2E
Chicago, IL 60647-6256

Phone

(708) 574-3416

NPI assigned

Feb 9, 2015

Organization subpart

No

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

Authorized official

Name

Rebecca Lee Davis, L.C.S.W.NPI 1306238209

Title

Licensed Clinical Social Worker

Phone

(708) 574-3416

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Davis, MSW, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1306238209
  NPD (past) Authorized official

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1386035673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 W CATON ST",
            "address_2": "#2E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476256",
            "telephone_number": "708-574-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 W CATON ST",
            "address_2": "2E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476256",
            "telephone_number": "708-574-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA DAVIS, MSW, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "708-574-3416",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick L Reavey, M.D.
• David A Reavy, PT
• Madeline Reavy
• Marek B Rebandel, M.D.
• Starshemah Rebb, APN
• Rebecca Hubbard Dba Grounded Power Psychological Consulting
• Rebecca Israilevich LLC
• Rebecca J Duke MD PC
• Rebecca Jacobson Therapy, LLC
• Rebecca L Nelson LCSW Inc

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.