Diana Marie Davis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003584 Issued in GA

Practice address

104 Whiting Way
Suite 200
Warner Robins, GA 31088-6481

Phone

(478) 662-2710

Fax

(478) 333-2985

NPI assigned

Feb 8, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Beacon Insight Counseling

  • Community/Behavioral Health Agency
  • Warner Robins, GA
  • NPI 1104188341
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1427320233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WHITING WAY",
            "address_2": "SUITE 200",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886481",
            "telephone_number": "478-662-2710",
            "fax_number": "478-333-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WHITING WAY",
            "address_2": "SUITE 200",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886481",
            "telephone_number": "478-662-2710",
            "fax_number": "478-333-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DIANA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 7900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyra Lynn Davies
• Ashley Davis, LPN
• Boknesia Tavion Davis, BCBA
• Dallas Chambers Davis, LAMFT
• Dena M Davis, LMT
• Erica Diana Davis, RBT
• Essie Novella Davis
• Gabrielle Davis
• Heather L Davis
• Indya Davis

• Clinical Social Worker in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.