Active NPI
Nancy Jane Davis, LCSW
- Clinical Social Worker
- Crawfordsville, IN
National Provider Identifier
1730256819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34000492A
- Practice address
- 468 N Woodland Heights Dr
Crawfordsville, IN 47933 - Phone
- (765) 362-4800
- NPI assigned
- Nov 30, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34000492A | IN | Primary |
Addresses
Primary practice location
468 N Woodland Heights Dr
Crawfordsville, IN 47933
Mailing address
PO Box 631
Crawfordsville, IN 47933
Phone (765) 362-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1015232 | Other | CIGNA |
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 |
|---|---|---|---|
| 34000492A | IN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730256819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 631",
"city": "CRAWFORDSVILLE",
"state": "IN",
"postal_code": "47933",
"telephone_number": "765-362-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "468 N WOODLAND HEIGHTS DR",
"city": "CRAWFORDSVILLE",
"state": "IN",
"postal_code": "47933",
"telephone_number": "765-362-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "NANCY",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34000492A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1015232",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Crawfordsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.