Sherene Davis, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2222 Colonial Rd Ste 100
Fort Pierce, FL 34950-5309

Phone

(772) 489-4729

NPI assigned

Jul 6, 2015

Last updated

May 5, 2020By 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

Practice roles

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.

• Suncoast Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Fort Pierce, FL
  • NPI 1225046550
  NPD (past)

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1659754828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 SW CALIFORNIA BLVD APT 204",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349531738",
            "telephone_number": "772-224-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 COLONIAL RD STE 100",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349505309",
            "telephone_number": "772-489-4729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2814 S US Highway 1",
            "address_2": "Suite D4",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349828120",
            "country_code": "US",
            "telephone_number": "772-489-4726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SHERENE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nederia Davis
• Richard Milan Davis, MD
• Roderick Davis
• Russell Minor Davis, D.M.D.
• Shannon Davis
• William A Davis, RT
• Dwight Garfield Dawkins, MD
• Ladana Dawsey
• Anthony De Gennaro, MD
• Brenda Marangel De Jesus Pagan, MD

• Mental Health Counselor in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.