Active NPI
Carol Ann Davis, LISW CP
- Clinical Social Worker
- Greenwood, SC
National Provider Identifier
1457527673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9701
- Practice address
- 104 Maxwell Ave
Suite 227
Greenwood, SC 29646-2641 - Phone
- (864) 396-2810
- Fax
- (864) 396-2810
- NPI assigned
- May 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1309 | NC | |
| Clinical Social Worker | 1041C0700X | C006125 | NC | |
| Clinical Social Worker | 1041C0700X | 9701 | SC | Primary |
Addresses
Primary practice location
104 Maxwell Ave
Suite 227
Greenwood, SC 29646-2641
Mailing address
PO Box 51573
Greenwood, SC 29649-0043
Phone (864) 396-2810
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6008307 | Medicaid | NC | |
| 10751529 | Other | VA | CAQH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C006125 | NC | MD | Clinical Social Worker |
| 9701 | SC | MD | Clinical Social Worker |
| 1309 | NC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adam Behavioral Health Care Consulants Inc | Addiction (Substance Use Disorder) | Past | 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 and National Provider Directory roles.
-
- Clinical Social Worker
- Asheville, NC
- NPI 1699075077
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479859200000",
"number": "1457527673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51573",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296490043",
"telephone_number": "864-396-2810",
"fax_number": "864-396-2810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 MAXWELL AVE",
"address_2": "SUITE 227",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296462641",
"telephone_number": "864-396-2810",
"fax_number": "864-396-2810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CAROL",
"middle_name": "ANN",
"credential": "LISW CP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-07",
"last_updated": "2016-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1309",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C006125",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "9701",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6008307",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10751529",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.