Katherine Davis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW020841 Issued in PA

Practice address

600 Maple Ave
Honesdale, PA 18431-1459

Phone

(570) 253-8219

NPI assigned

Oct 30, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

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.

• Wayne Memorial Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Honesdale, PA
  • NPI 1952395121

  Clinical

  Medicare reassignment NPD
• Wayne Memorial Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Honesdale, PA
  • NPI 1346000569
  NPD

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1407490758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PARK ST",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311445",
            "telephone_number": "570-253-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAPLE AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311459",
            "telephone_number": "570-253-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilary Cousins, LCSW
• Corinne Crum
• James Garland Cruse, MD
• Louis C D'Oro, M.D.
• Jennifer David
• William Frederick Davis, MD
• Rourke Douglas Decker, DO
• Anthony Degori, DPT
• Michael Burke Delage Jr., MD
• Tammy Sue Deleo, PMHNP-BC, MSN, RN

• Clinical Social Worker in Honesdale, PA
• Providers in Honesdale, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.