Tanya Leigh Davis, LCSW
Individual provider Active NPI Clinical Social Worker · Tallahassee, FL
NPI 1700543808 · NPPES record last updated Nov 23, 2021
Key facts
- NPI
- 1700543808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW007779 (GA)
- Practice address
- 5404 Appledore LN
Tallahassee, FL 32309-6846 - Phone
- (904) 662-1288
- NPI assigned
- Nov 23, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- 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 Inc
Practice addresses (Care Compare)
2634 Capital Circle NE
BLDG J
Tallahassee, FL 32308-4141
Phone (850) 523-3333
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220616001271 | FL | Practitioner - Clinical Social Worker | 7113306416 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW18604 | FL | MD | Clinical Social Worker |
| CSW007779 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apalachee Center Inc | Current |
Accepting new patients | |
| Apalachee Center, Inc. | Current |
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) 363-0906
1996 S Jefferson Hwy
Monticello, FL 32344
Phone (850) 997-3958
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) 523-3440
2634 Capital Cir NE
Bldg J
Tallahassee, FL 32308
Phone (850) 523-3243
471 W Tennessee St
Tallahassee, FL 32301
Phone (850) 523-3301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW18604 | FL | |
| Clinical Social Worker | 1041C0700X | CSW007779 | GA | Yes |
Addresses
Primary practice location
5404 Appledore LN
Tallahassee, FL 32309-6846
Mailing address
5404 Appledore LN
Tallahassee, FL 32309-6846
Phone (904) 662-1288
Other providers in Tallahassee, FL
- Melani Davis
- Saniecia Davis
- Sherricka Davis
- Shonda Latoya Davis
- Tanya Davis
- Tina R Davis
- Tongela Davis
- Tracey A. Davis
- Tyra Alyse Davis
- Wilburn T Davis III
All providers in Tallahassee, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.