Individual provider Active NPI

Patricia Davis, M.S.W., LCSW

  • Clinical Social Worker
  • Red Bank, NJ
National Provider Identifier
1427243575
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04572000 Issued in NJ
Practice address
14 Crescent Pkwy
Red Bank, NJ 07701-5808
Phone
(732) 936-0433
NPI assigned
Sep 12, 2007
Last updated
Sep 12, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC04572000 NJ Primary

Addresses

Primary practice location

14 Crescent Pkwy
Red Bank, NJ 07701-5808

Mailing address

14 Crescent Pkwy
Red Bank, NJ 07701-5808
Phone (732) 936-0433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20040916000006 NJ Practitioner - Clinical Social Worker 9638146889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

55 Hwy 35
Suite 6
Red Bank, NJ 07701-5918
Phone (908) 461-3777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC04572000NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lundrigan Counseling and Psychological Services LLC CurrentSince Dec 1, 2022 Accepting new patients
Rutgers Health - Behavioral Health Past Accepting new patients

Locations

55 State Route 35
Ste 6
Red Bank, NJ 07701
Phone (732) 784-7793

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": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1427243575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CRESCENT PKWY",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015808",
            "telephone_number": "732-936-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CRESCENT PKWY",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015808",
            "telephone_number": "732-936-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "PATRICIA",
        "credential": "M.S.W., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04572000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.