Individual provider Active NPI

Brooke Beckwith Davis, LISW-CP

  • Clinical Social Worker
  • Aiken, SC
National Provider Identifier
1659888048
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12212 Issued in SC
Practice address
920 Houndslake Dr # B204
Aiken, SC 29803-5924
Phone
(803) 816-1260
NPI assigned
Jan 7, 2018
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12212 SC Primary

Addresses

Primary practice location

920 Houndslake Dr # B204
Aiken, SC 29803-5924

Mailing address

920 Houndslake Dr # B204
Aiken, SC 29803-5924
Phone (803) 816-1260

Other names 1

  • Taylor Brooke Beckwith Former name

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

LicenseStateTypeSpecialty
12212SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
B.Well Counseling and Consulting LLC CurrentSince Jan 7, 2024 Accepting new patients
Mental Illness Recovery Center PastSince Dec 16, 2020 Accepting new patients

Locations

920 Houndslake Dr
#B204
Aiken, SC 29803
Phone (803) 816-1260

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/7878c7ba-d1a3-4bd2-9b45-7234d7142c12/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1515283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1659888048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 HOUNDSLAKE DR # B204",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035924",
            "telephone_number": "803-816-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 HOUNDSLAKE DR # B204",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035924",
            "telephone_number": "803-816-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BROOKE",
        "middle_name": "BECKWITH",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-07",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "12212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "BECKWITH",
            "middle_name": "BROOKE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.