Active NPI
La Shawn Rosamond Davis, LMSW
- Social Worker
- Buffalo, NY
National Provider Identifier
1689366551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0577760
- Practice address
- 695 Genesee St. N/a
Buffalo, NY 14211-1013 - Phone
- (716) 710-5151
- NPI assigned
- May 22, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 0577760 | NY | Primary |
Addresses
Primary practice location
695 Genesee St. N/a
Buffalo, NY 14211-1013
Mailing address
229 W Genesee St # 1116
Buffalo, NY 14202-2604
Phone (716) 308-7695
Other practice location 1
279 Minnesota Ave
Buffalo, NY 14215-1013
Phone (716) 495-3695
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 |
|---|---|---|---|
| 0577760 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1689366551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 W GENESEE ST # 1116",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142022604",
"telephone_number": "716-308-7695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 GENESEE ST. N/A",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142111013",
"telephone_number": "716-710-5151"
}
],
"practiceLocations": [
{
"address_1": "279 Minnesota Ave",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142151013",
"country_code": "US",
"telephone_number": "716-495-3695",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "LA SHAWN",
"middle_name": "ROSAMOND",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-22",
"last_updated": "2024-05-23",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "0577760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.