Active NPI
Charla E Davis, LLMSW
- Clinical Social Worker
- Royal Oak, MI
National Provider Identifier
1679464929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6851120505
- Practice address
- 25600 Woodward Ave Ste 215
Royal Oak, MI 48067-0945 - Phone
- (248) 399-7447
- NPI assigned
- Jul 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6851120505 | MI | Primary |
Addresses
Primary practice location
25600 Woodward Ave Ste 215
Royal Oak, MI 48067-0945
Mailing address
811 W Maple Rd
Clawson, MI 48017-1185
Phone (205) 720-5745
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851120505 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1679464929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 W MAPLE RD",
"city": "CLAWSON",
"state": "MI",
"postal_code": "480171185",
"telephone_number": "205-720-5745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25600 WOODWARD AVE STE 215",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480670945",
"telephone_number": "248-399-7447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CHARLA",
"middle_name": "E",
"credential": "LLMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-14",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851120505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.