Individual provider Active NPI

La Shawn Rosamond Davis, LMSW

  • Social Worker
  • Buffalo, NY
National Provider Identifier
1689366551
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0577760 Issued in NY
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

Updated by the provider on May 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0577760NYMDSocial 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.

Verify at the official NPI Registry.