Individual provider Active NPI

Brenda Sue Davis

  • Social Worker
  • Chesterfield, MO
National Provider Identifier
1699484162
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
001500 Issued in MO
Practice address
100 Chesterfield Business Pkwy FL 2
Chesterfield, MO 63005-1271
Phone
(800) 442-8938
NPI assigned
Nov 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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 001500 MO Primary

Addresses

Primary practice location

100 Chesterfield Business Pkwy FL 2
Chesterfield, MO 63005-1271

Mailing address

1120 Route 73 Ste 300
Mount Laurel, NJ 08054-5113
Phone (800) 442-8938

Other names 1

  • Brenda Batchelor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC, IL, MT4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20230405001355 VA Practitioner - Clinical Social Worker 0345615373 Reassigns benefits to 1 organization
I20230413001045 NC Practitioner - Clinical Social Worker 0345615373 Reassigns benefits to 1 organization
I20240103001323 IL Practitioner - Clinical Social Worker 0345615373 Reassigns benefits to 1 organization
I20240513001744 MT Practitioner - Clinical Social Worker 0345615373 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001500MOMDCase Management Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Illinois, PLLC CurrentSince Dec 1, 2023 Accepting new patients
CMH Physician Services, LLC CurrentSince Mar 1, 2023 Accepting new patients
Emergency Medicine Physicians of Mecklenburg County, PLLC CurrentSince Apr 17, 2023 Accepting new patients
Rocky Boy Health Center CurrentSince May 1, 2024 Accepting new patients
CMH Physician Services, LLC CurrentSince Mar 1, 2023 Accepting new patients
Inpathy Behavioral Healthcare Group LLC Past Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

6850 Upper Box Elder Rd
Box Elder, MT 59521
Phone (406) 395-4374

2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

Interoperability endpoints

  • Direct secure messaging: brenda.davis.1@24284.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1699484162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 ROUTE 73 STE 300",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080545113",
            "telephone_number": "800-442-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHESTERFIELD BUSINESS PKWY FL 2",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051271",
            "telephone_number": "800-442-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BRENDA",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "001500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "BATCHELOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.