Lana Marlene Davis, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L3513 Issued in OR

Practice address

525 Bay Street
Waldport, OR 97394

Phone

(541) 453-3055

NPI assigned

Feb 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699749705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9088 NW KINGLET LN",
            "city": "SEAL ROCK",
            "state": "OR",
            "postal_code": "973769755",
            "telephone_number": "541-563-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BAY STREET",
            "city": "WALDPORT",
            "state": "OR",
            "postal_code": "97394",
            "telephone_number": "541-453-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LANA",
        "middle_name": "MARLENE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Pharmacies, LLC (Waldport Drug and Gift #1187)
• Allison Barbara Colman-Pinning
• County of Lincoln (Lincoln County Health & Human Services)
• County of Lincoln
• Alycia E Cummings
• Seaheart Crumpton Elan, LMT-OR(ADD);LMP-WA(I
• Shannon Everett, MS, BCBA, LBA
• Lee A Furlong, M.D.
• Patricia Ann Garrick, LPC
• Joseph Edward Handley, PA-C

• Clinical Social Worker in Waldport, OR
• Providers in Waldport, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.