Kyra Janae Davis, LCSW
Individual provider Active NPI Clinical Social Worker · Winston Salem, NC
NPI 1669152146 · NPPES record last updated Nov 11, 2025
Key facts
- NPI
- 1669152146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C018598 (NC)
- Practice address
- 2000 Polo Rd
Winston Salem, NC 27106-4547 - Phone
- (336) 703-4135
- Fax
- (336) 934-4249
- NPI assigned
- Jul 20, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C018598 | NC | MD | Clinical Social Worker |
| P016862 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaston Family Health Services, Inc. | Current |
Accepting new patients | |
| Gaston Family Health Services Inc | Current |
Accepting new patients | |
| Gaston Family Health Services, Inc. | Past |
Accepting new patients | |
| Gaston Family Health Services, Inc. | Past | Accepting new patients |
Locations
200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904
2000 Polo Rd
Winston Salem, NC 27106
Phone (336) 703-4135
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P016862 | NC | |
| Clinical Social Worker | 1041C0700X | C018598 | NC | Yes |
Addresses
Primary practice location
2000 Polo Rd
Winston Salem, NC 27106-4547
Mailing address
200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1907
Other providers in Winston Salem, NC
- Jonathon Hayes Davis
- Judson Spencer Davis Jr.
- Katrina Davis
- Keiri Jenae Davis
- Kelli Black Davis
- Laura Davis
- Lauren Nicole Walters Davis
- Lindsay Alexandra Davis
- Lisa N Davis
- Logan Dawson Davis
All providers in Winston Salem, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.