Diane B Davis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

082149-01 Issued in NY

Practice address

3 Blue Streak Blvd
Saratoga Springs, NY 12866-5967

Phone

(518) 281-0263

NPI assigned

Aug 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Saratoga Springs CSD

  • Local Education Agency (LEA)
  • Saratoga Springs, NY
  • NPI 1578620704
  NPD (past)

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1497301659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BLUE STREAK BLVD",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665967",
            "telephone_number": "518-281-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BLUE STREAK BLVD",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665967",
            "telephone_number": "518-281-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DIANE",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082149-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David M Mastrianni MD
• Rachel Ann Davies-Hohman, RD, CDN
• John A Davies, M.D.
• Miriam Davis-Doern, LCSW-R, CASAC
• Amanda Nichole Davis
• Robert Warren Davis, MSW
• Tina Davis, EDD
• Edwin A Davison Jr., M.D.
• Catherine Dawson, MD
• Marie Chin Day, MD

• Clinical Social Worker in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.