Individual provider Active NPI

Bobbie Marie Davis, LCSW, CMSW

  • Clinical Social Worker
  • Clarksville, TN
National Provider Identifier
1720276470
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4822 Issued in TN
Practice address
10 Main St
Suite J.
Clarksville, TN 37040-3887
Phone
(931) 436-3683
NPI assigned
Oct 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4822 TN Primary

Addresses

Primary practice location

10 Main St
Suite J.
Clarksville, TN 37040-3887

Mailing address

10 Main St
Suite J.
Clarksville, TN 37040-3887
Phone (931) 436-3683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20151106001951 TN Practitioner - Clinical Social Worker 1759691579 Practice locations: Clarksville, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Tennessee, HSC, College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1064 Riverside Dr
Suite D
Clarksville, TN 37040-4792

1064 S Riverside Dr
Suite D
Clarksville, TN 37040-4792
Phone (931) 436-3683

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Active Solutions Therapy Clinical Current Accepting new patients

Locations

1064 S Riverside Dr
Ste D
Clarksville, TN 37040
Phone (931) 217-1833

Organizations & group practices 1

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": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1720276470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MAIN ST",
            "address_2": "SUITE J.",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403887",
            "telephone_number": "931-436-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAIN ST",
            "address_2": "SUITE J.",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403887",
            "telephone_number": "931-436-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BOBBIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "4822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.