Individual provider Active NPI

Regina Lynn Davis, LCSW

  • Clinical Social Worker
  • Fairbanks, AK
National Provider Identifier
1659984995
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
196318 Issued in AK
Practice address
122 1St Ave Ste 600
Fairbanks, AK 99701-4899
Phone
(907) 452-8251
NPI assigned
Aug 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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 196318 AK Primary

Addresses

Primary practice location

122 1St Ave Ste 600
Fairbanks, AK 99701-4899

Mailing address

1513 4TH Ave
Fairbanks, AK 99701-4209
Phone (907) 687-1637

Other practice location 1

1513 4th Ave Ste 105
Fairbanks, AK 99701-4209
Phone (907) 621-5445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tanana Chiefs Conference CurrentSince Feb 24, 2025 Accepting new patients
Center for Relational Health, PC Mental Health CurrentSince Oct 13, 2024 Accepting new patients
Tanana Chiefs Conference CurrentSince Feb 24, 2025 Accepting new patients

Locations

122 1st Ave
Ste 600
Fairbanks, AK 99701

122 1st Ave
Ste 106
Fairbanks, AK 99701

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1659984995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 4TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014209",
            "telephone_number": "907-687-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 1ST AVE STE 600",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014899",
            "telephone_number": "907-452-8251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1513 4th Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997014209",
            "country_code": "US",
            "telephone_number": "907-621-5445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "REGINA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "196318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.