Michelle Renee Davis, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1849 Issued in KS

Practice address

423 N McLean Blvd Ste 324
Wichita, KS 67203-5964

Phone

(316) 854-8575

Fax

(316) 869-2277

NPI assigned

Jan 7, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Renee Miller Former name

Electronic endpoints 4

Medicare fee-for-service enrollment

Enrolled in KS

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, 1989

Medicare assignment

May accept Medicare assignment

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.

• Michelle Miller Professional Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wichita, KS
  • NPI 1295320554
  Medicare reassignment NPD Authorized official
• Mental Health Wichita LLC

  • Mental Health Counselor
  • Wichita, KS
  • NPI 1982461232

  Clinical

  NPD

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1457949166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 N MCLEAN BLVD STE 324",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672035964",
            "telephone_number": "316-854-8575",
            "fax_number": "316-869-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 N MCLEAN BLVD STE 324",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672035964",
            "telephone_number": "316-854-8575",
            "fax_number": "316-869-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "michellemiller06@hushmail.com",
            "affiliation": "N",
            "address_1": "560 N Exposition St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672035902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "michellemiller06@hushmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Encrypted email for private practice",
            "address_1": "560 N Exposition St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672035902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michellemiller06@hushmail.com",
            "affiliation": "N",
            "address_1": "560 N Exposition St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672035902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "michellemiller06@hushmail.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "560 N Exposition St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672035902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MILLER",
            "middle_name": "RENEE",
            "credential": "LSCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie Davis
• Kimberly Louise Davis, MS, LCMFT
• Lakonnia Yvette Davis, LPN
• Lawrence Huebert Davis, DDS
• Madalynn Eileen Davis, RD, LD
• Monica Rebekah Davis, NP
• Morgan B Davis, T-LMLP
• Nancy Dawn Davis, RPH
• Paul H Davis, M.D.
• Rachel Davis

• Clinical Social Worker in Wichita, KS
• Providers in Wichita, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.