Active NPI
Delores Davis, LSW
- Social Worker
- Dunmore, PA
National Provider Identifier
1447737150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW130957
- Practice address
- 1141 Clay Ave Ste 2
Dunmore, PA 18510-1191 - Phone
- (570) 207-7919
- Fax
- (570) 963-1953
- NPI assigned
- Jul 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW130957 | PA | Primary |
Addresses
Primary practice location
1141 Clay Ave Ste 2
Dunmore, PA 18510-1191
Mailing address
1141 Clay Ave Ste 2
Dunmore, PA 18510-1191
Phone (570) 207-7919
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW130957 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1447737150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 CLAY AVE STE 2",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185101191",
"telephone_number": "570-207-7919",
"fax_number": "570-963-1953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 CLAY AVE STE 2",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185101191",
"telephone_number": "570-207-7919",
"fax_number": "570-963-1953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DELORES",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-25",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW130957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dunmore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.