Carole Darice Davis, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50082063 Issued in DC

Practice address

2041 Martin Luther King Jr Ave SE
Washington, DC 20020-7024

Phone

(202) 442-6100

NPI assigned

Jul 15, 2019

Last updated

Jul 15, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Asi Allied Health, Inc.

  dba ASI Wellness Warmline

  • Social Worker
  • Waldorf, MD
  • NPI 1194314641
  Authorized official Same address or phone

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1649822180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10782 SOURWOOD AVE",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035753",
            "telephone_number": "240-346-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 MARTIN LUTHER KING JR AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207024",
            "telephone_number": "202-442-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10782 Sourwood Ave",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206035753",
            "country_code": "US",
            "telephone_number": "240-346-1730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CAROLE",
        "middle_name": "DARICE",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50082063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Washington",
            "affiliation": "N",
            "endpointDescription": "f",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2041 Martin Luther King Jr Ave SE",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200207024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittany A Davis
• Brittney Davis
• Camonya Davis
• Carla Davis, MD
• Carmen J Davis
• Carolyn Dianne Davis, PCA
• Catherine Davis
• Chanda Davis
• Charlene Davis, HHA
• Charlene Marie Davis

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.