Yolanda Regina Davis, MSW,LCSW

Individual provider Active NPI Clinical Social Worker · Winterville, NC

NPI 1407660491 · NPPES record last updated Jul 14, 2026

Key facts

NPI
1407660491
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
C019572 (NC)
Practice address
2330 Vineyard Dr Apt N3
Winterville, NC 28590-9481
Phone
(919) 622-4091
NPI assigned
Feb 3, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PO17225NCMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C019572 NC Yes

Addresses

Primary practice location

2330 Vineyard Dr Apt N3
Winterville, NC 28590-9481

Mailing address

2330 Vineyard Dr Apt N3
Winterville, NC 28590-9481
Phone (919) 622-4091

Other providers in Winterville, NC

All providers in Winterville, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.