Active NPI
Bernedette Davis, MSW, LSWAIC
- Social Worker
- Pasco, WA
National Provider Identifier
1710760673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SC61420967
- Practice address
- 715 W Court St
Pasco, WA 99301-4153 - Phone
- (509) 547-2204
- NPI assigned
- Aug 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SC61420967 | WA | Primary |
Addresses
Primary practice location
715 W Court St
Pasco, WA 99301-4153
Mailing address
715 W Court St
Pasco, WA 99301-4153
Phone (509) 547-2204
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC61420967 | WA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1710760673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 W COURT ST",
"city": "PASCO",
"state": "WA",
"postal_code": "993014153",
"telephone_number": "509-547-2204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 W COURT ST",
"city": "PASCO",
"state": "WA",
"postal_code": "993014153",
"telephone_number": "509-547-2204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "BERNEDETTE",
"credential": "MSW, LSWAIC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-15",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "SC61420967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.