Individual provider Active NPI

Tanya Leigh Davis, LCSW

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1700543808
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW007779 Issued in GA
Practice address
5404 Appledore LN
Tallahassee, FL 32309-6846
Phone
(904) 662-1288
NPI assigned
Nov 23, 2021
Last updated
Nov 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW18604 FL
Clinical Social Worker 1041C0700X CSW007779 GA Primary

Addresses

Primary practice location

5404 Appledore LN
Tallahassee, FL 32309-6846

Mailing address

5404 Appledore LN
Tallahassee, FL 32309-6846
Phone (904) 662-1288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20220616001271 FL Practitioner - Clinical Social Worker 7113306416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Apalachee Center IncGroup PAC ID 3577556604, 22 clinicians

Practice addresses (Care Compare)

2634 Capital Circle NE
BLDG J
Tallahassee, FL 32308-4141
Phone (850) 523-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW007779GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Apalachee Center, Inc. CurrentSince May 16, 2022 Accepting new patients
Apalachee Center Inc CurrentSince May 16, 2022 Accepting new patients
Apalachee Center, Inc. Past Accepting new patients
Apalachee Center Inc Past Accepting new patients
Apalachee Center Inc Past Accepting new patients
Apalachee Center, Inc. Past Accepting new patients
Apalachee Center Inc Past Accepting new patients
Apalachee Center Inc Past Accepting new patients
Apalachee Center Inc Past Accepting new patients

Locations

159 12th St
Apalachicola, FL 32320
Phone (850) 653-9744

13888 NW County Road 12
Bristol, FL 32321
Phone (850) 643-2232

43 Oak St
Crawfordville, FL 32327
Phone (850) 926-5900

225 SW Sumatra Ave
Madison, FL 32340
Phone (850) 973-5124

1996 S Jefferson Hwy
Monticello, FL 32344
Phone 8509973958 ext. 7345

1421 S Dixie Hwy
Perry, FL 32348
Phone (850) 584-5613

79 Lasalle Path
Quincy, FL 32351
Phone (850) 875-2422

2634 Capital Cir NE
Bldg C
Tallahassee, FL 32308
Phone (850) 523-3289

2634 Capital Cir NE
Bldg J
Tallahassee, FL 32308
Phone (850) 523-3243

471 W Tennessee St
Tallahassee, FL 32301
Phone (850) 523-3301

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1700543808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 APPLEDORE LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323096846",
            "telephone_number": "904-662-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 APPLEDORE LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323096846",
            "telephone_number": "904-662-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TANYA",
        "middle_name": "LEIGH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18604",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.