Active NPI
Bobbie Marie Davis, LCSW, CMSW
- Clinical Social Worker
- Clarksville, TN
National Provider Identifier
1720276470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4822
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Clinical Social Worker
- Clarksville, TN
- NPI 1437714417
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.