Individual provider Active NPI

Chey Davis, MA, MSW

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1407585805
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851114432 Issued in MI
Practice address
17566 Northlawn St # 1
Detroit, MI 48221-2512
Phone
(989) 513-0235
NPI assigned
Jun 9, 2022
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 68011119196 MI
Clinical Social Worker 1041C0700X 6851114432 MI Primary

Addresses

Primary practice location

17566 Northlawn St # 1
Detroit, MI 48221-2512

Mailing address

17566 Northlawn St # 1
Detroit, MI 48221-2512
Phone (989) 513-0235

Other practice location 1

4140 State St Ste 200
Saginaw, MI 48603-4025
Phone (989) 513-0235

Other practice location 2

411 W Lake Lansing Rd Ste C125
East Lansing, MI 48823-8485
Phone (517) 589-4169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20250113003451 MI Practitioner - Clinical Social Worker 7517495906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Michigan State University College of Osteopathic Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Happy Mama Counseling PLLCGroup PAC ID 3375968399, 2 clinicians

Practice addresses (Care Compare)

17251 W 12 Mile Rd
Suite 200
Southfield, MI 48076-2140
Phone (248) 416-4644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
68011119196MIMDClinical Social Worker
6851114432MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sagacity Counseling Clinical CurrentSince Jul 31, 2022 Accepting new patients
Happy Mama Counseling PLLC Clinical CurrentSince Jan 9, 2025 Accepting new patients

Locations

4140 State St
Ste 200
Saginaw, MI 48603
Phone (989) 513-0235

17251 W 12 Mile Rd
Ste 200
Southfield, MI 48076
Phone (248) 406-6520

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1407585805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17566 NORTHLAWN ST # 1",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212512",
            "telephone_number": "989-513-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17566 NORTHLAWN ST # 1",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212512",
            "telephone_number": "989-513-0235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4140 State St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486034025",
            "country_code": "US",
            "telephone_number": "989-513-0235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 W Lake Lansing Rd Ste C125",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488238485",
            "country_code": "US",
            "telephone_number": "517-589-4169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHEY",
        "name_prefix": "Prof.",
        "credential": "MA, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "68011119196",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851114432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.