Lawanda Davis

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Practice address

10 Southard St
Trenton, NJ 08609-1020

Phone

(609) 396-4557

NPI assigned

Dec 22, 2021

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

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1669132270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SOUTHARD ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086091020",
            "telephone_number": "609-396-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SOUTHARD ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086091020",
            "telephone_number": "609-396-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LAWANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrianna R Daly, LCSW
• Prabodh Damani, MD
• Malvika Janki Damle, RN
• Esmie Daubon, LPN
• Cristina A Davia, LSW
• Mariah Mary Carole Davis, PA-C
• Passion Davis
• Shakerra Davis, RN
• Tommy Davis, PH.D.
• Jason Dawlabani

• Adult Mental Health Clinic/Center in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.