Adam Davis, LCSWC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

114 S Conkling St
Baltimore, MD 21224-2410

Phone

(901) 830-9280

NPI assigned

Mar 27, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Merit-based Incentive Payment System (MIPS)

Final score

89.8 of 100Reported as group

Quality

75.8

Improvement activities

40

Cost

77.01

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Della Behavioral Health Services

  • Psychologist
  • Columbia, MD
  • NPI 1750635207
  Medicare reassignment

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1538797477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S CONKLING ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242410",
            "telephone_number": "901-830-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S CONKLING ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242410",
            "telephone_number": "901-830-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ADAM",
        "credential": "LCSWC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adavis@rosalesassociates.com",
            "affiliation": "N",
            "address_1": "114 S Conkling St",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212242410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rose Marie Davila
• Tesha Davilmar, MD
• Davis the Collective , L.C.
• Bernetta Winfred Davis-Poole, OD
• Vonetta Alethia Davis-Royster, CRNP
• Aeisha J Davis
• Aiesha Nicole Davis
• Akaia Davis
• Alexandra Jade Davis
• Alisa Davis, RN, BSN

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.