Active NPI
Darci Davis, LCSW
- Social Worker
- Corning, NY
National Provider Identifier
1639453749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 73082613
- Practice address
- 164 Flint Avenue
Corning, NY 14830-1898 - Phone
- (607) 962-1514
- Fax
- (607) 654-2815
- NPI assigned
- Oct 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 73082613 | NY | Primary |
| School Social Worker | 1041S0200X | 72-074228 | NY |
Addresses
Primary practice location
164 Flint Avenue
Corning, NY 14830-1898
Mailing address
164 Flint Avenue
Corning, NY 14830-1898
Phone (607) 962-1514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73082613 | NY | MD | Social Worker |
| 72-074228 | NY | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418169600000",
"number": "1639453749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 FLINT AVENUE",
"city": "CORNING",
"state": "NY",
"postal_code": "148301898",
"telephone_number": "607-962-1514",
"fax_number": "607-654-2815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 FLINT AVENUE",
"city": "CORNING",
"state": "NY",
"postal_code": "148301898",
"telephone_number": "607-962-1514",
"fax_number": "607-654-2815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DARCI",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-07",
"last_updated": "2014-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "73082613",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "72-074228",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corning, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.