Active NPI
Christian Davis, LCSWA, LCAS
- Social Worker
- Willow Spring, NC
National Provider Identifier
1699444356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 103 Courrone CT
Willow Spring, NC 27592-3310 - Phone
- (252) 813-7475
- NPI assigned
- Sep 7, 2021
- Last updated
- May 31, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NC | ||
| Social Worker | 104100000X | NC | Primary | |
| Recreation Therapist | 225800000X | NC |
Addresses
Primary practice location
103 Courrone CT
Willow Spring, NC 27592-3310
Mailing address
103 Courrone CT
Willow Spring, NC 27592-3310
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | cdavislcswa@gmail.com |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reflourish Collaboration and Counseling Services, PLLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Raleigh, NC
- NPI 1891650891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1699444356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 COURRONE CT",
"city": "WILLOW SPRING",
"state": "NC",
"postal_code": "275923310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 COURRONE CT",
"city": "WILLOW SPRING",
"state": "NC",
"postal_code": "275923310",
"telephone_number": "252-813-7475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CHRISTIAN",
"credential": "LCSWA, LCAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-07",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": null,
"primary": true
},
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "NC",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "cdavislcswa@gmail.com",
"affiliation": "N",
"address_1": "103 Courrone Ct",
"city": "Willow Spring",
"state": "NC",
"country_code": "US",
"postal_code": "275923310",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Willow Spring, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.