Individual provider Active NPI

Rachel Davis, MSW, LCSWA

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1437690880
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P010547 Issued in NC
Practice address
1508 Kenilworth Ave Apt F
Charlotte, NC 28203-5262
Phone
(614) 530-5902
NPI assigned
Mar 18, 2017
Last updated
Jan 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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 P010547 NC Primary

Addresses

Primary practice location

1508 Kenilworth Ave Apt F
Charlotte, NC 28203-5262

Mailing address

1508 Kenilworth Ave Apt F
Charlotte, NC 28203-5262
Phone (614) 530-5902

Other practice location 1

3021 Senna Dr
Unit B
Matthews, NC 28105-6727
Phone (704) 443-0144

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P010547NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Walgren Counseling, PLLC Clinical PastSince May 2, 2016 Accepting new patients

Organizations & group practices 1

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": "1489795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1437690880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 KENILWORTH AVE APT F",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035262",
            "telephone_number": "614-530-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 KENILWORTH AVE APT F",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035262",
            "telephone_number": "614-530-5902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3021 Senna Dr",
            "address_2": "Unit B",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281056727",
            "country_code": "US",
            "telephone_number": "704-443-0144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RACHEL",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-18",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P010547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.