Ally Davis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C10169 Issued in MS

Practice address

100 Starr Ave Ste K
Starkville, MS 39759-4032

Phone

(662) 340-5947

NPI assigned

Jun 30, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Starkville Wellness Group

  • Mental Health Counselor
  • Starkville, MS
  • NPI 1437763240
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652486400000",
    "number": "1730741778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 CHARENSON PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276149860",
            "telephone_number": "919-830-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STARR AVE STE K",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397594032",
            "telephone_number": "662-340-5947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 Dresser Ct Ste 103",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276097325",
            "country_code": "US",
            "telephone_number": "919-876-5658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ALLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-30",
        "last_updated": "2022-05-14",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C10169",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014554",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Claire S Dalrymple, OD
• Natasha Daniels
• Taylor Ray Daniels, PTA
• Jesse L Davidson
• Tiffany Davidson
• Amy Davis, BS
• Melissa Long Davis, M.S., CCC-SLP
• Quincy Davis III
• Karlee Day, FNP-C
• Lore Day, PHARMD

• Clinical Social Worker in Starkville, MS
• Providers in Starkville, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.