Nancy S Davis, LICSW BCD
Individual provider Active NPI Social Worker · Windham, NH
NPI 1386674893 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1386674893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- NH1107 (NH)
- Practice address
- 30 Heritage Hill Rd
Windham, NH 03087-1816 - Phone
- (603) 893-8132
- Fax
- (603) 893-8132
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1107 | NH | MD | Addiction (Substance Use Disorder) Counselor |
| 101084 | MA | MD | Social Worker |
| NH1107 | NH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green House Group PA | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NH1107 | NH | Yes |
| Social Worker | 104100000X | 101084 | MA |
Addresses
Primary practice location
30 Heritage Hill Rd
Windham, NH 03087-1816
Mailing address
30 Heritage Hill Rd
Windham, NH 03087-1816
Phone (603) 893-8132
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30423105 | Medicaid | NH | |
| 30423739 | Medicaid | NH |
Other providers in Windham, NH
- Rachel Ashley Cushman
- CVS Manchester NH LLC
- Valeria Junia Da Costa
- Sandra Daskey
- Dante Turrell Davis Jr.
- Debra a Lamalfa, Lcmhc, Psychotherapist, P.L.L.C.
- Richard Peter Descheneaux
- Shideh Deurell
- Lisa Dipalermo
- Ava Ditulio
All providers in Windham, NH · Social Worker in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.