Mishawn Colleen Davis, LSW, LCDCIII

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1502578 Issued in OH

Practice address

650 Graham Rd Ste 101
Cuyahoga Falls, OH 44221-1051

Phone

(330) 928-0044

NPI assigned

Sep 18, 2017

Last updated

Aug 29, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1528587920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 GRAHAM RD STE 101",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211051",
            "telephone_number": "330-928-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 GRAHAM RD STE 101",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211051",
            "telephone_number": "330-928-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MISHAWN",
        "middle_name": "COLLEEN",
        "name_prefix": "Ms.",
        "credential": "LSW, LCDCIII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1502578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davis Eye Center, Inc (The Center For Surgery)
• Davis Eye Center, Inc (Accent Optical)
• Davis Eye Center, Inc.
• Brooke Davis
• Charles H Davis, D.O.
• Molly Lynn Davis
• Deborah L Gerbetz OD Inc
• Mary Barbara Decarlo, M.A.,CCC-SLP
• Tracy Ann Deep, LPCC-S
• Jennifer Ann Dehlman, CNP

• Social Worker in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.