Craig a Davis LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-14134 Issued in AZ

Legal business name

CRAIG A DAVIS LCSW PLLC

Practice address

2150 N Rio de Flag Dr
Flagstaff, AZ 86004-7503

Phone

(382) 699-3571

NPI assigned

May 23, 2018

Last updated

May 23, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Craig DavisNPI 1225278930

Title

Owner

Phone

(928) 699-3571

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig Allen Davis, LCSW

  • Clinical Social Worker
  • Flagstaff, AZ
  • NPI 1225278930
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1437640638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 N RIO DE FLAG DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860047503",
            "telephone_number": "382-699-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 N RIO DE FLAG DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860047503",
            "telephone_number": "382-699-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG A DAVIS LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-699-3571"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-14134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmalin Coury
• Covenant Wound Care LLC
• David C Coy, MD
• Mary Ellen Coy, M.D.
• Kevin John Coyle
• Annmarie Craig
• Debbie I. Craig, ATC
• Robin Craig, LPC
• Steven Ray Craig, M.ED. SCHOOL COUNSEL
• Bettie Chen-Ting Crane, D.D.S.

• Clinical Social Worker in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.