Michelle R Davey, LCSW-C

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

15783 Issued in MD

Practice address

3812 Arbutus Avenue
Gwynn Oak, MD 21207-1923

Phone

(301) 741-7596

NPI assigned

Nov 16, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Our Wings of Hope LLC

  • Adult Mental Health Clinic/Center
  • Owings Mills, MD
  • NPI 1205476066
  NPD (past) Authorized official

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1487931606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 PAINTERS MILL RD STE 204",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173657",
            "telephone_number": "301-741-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 ARBUTUS AVENUE",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212071923",
            "telephone_number": "301-741-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVEY",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MD",
            "license": "15783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048933600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clini Care Inc
• Bailey Cole, BT
• Nicole Keys Colebank, LCSW-C
• Latosha Coleman
• Sybil Ann Cooper, RN
• Letisha A Davis-Daye
• Okima Davis, LMT
• Malashia Ariel Daye, BT
• Cheryl Dennis
• Devine Family Care Practice LLC

• Community Health Worker in Gwynn Oak, MD
• Providers in Gwynn Oak, MD by specialty
• Community Health Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.