Active NPI
Denise Rose Davis, LCSW
- Clinical Social Worker
- Highland Park, IL
National Provider Identifier
1730763442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-001091
- Practice address
- 141 Pierce Rd
Highland Park, IL 60035-5326 - Phone
- (847) 507-4679
- NPI assigned
- May 9, 2021
- 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 | 149-001091 | IL | Primary |
Addresses
Primary practice location
141 Pierce Rd
Highland Park, IL 60035-5326
Mailing address
141 Pierce Rd
Highland Park, IL 60035-5326
Phone (847) 507-4679
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 |
|---|---|---|---|
| 149-001091 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620518400000",
"number": "1730763442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 PIERCE RD",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600355326",
"telephone_number": "847-507-4679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 PIERCE RD",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600355326",
"telephone_number": "847-507-4679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DENISE",
"middle_name": "ROSE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-09",
"last_updated": "2021-05-09",
"certification_date": "2021-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-001091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, IL
- Darryl M. Bronson, M.D., S.C. (Darryl M. Bronson, MD, Bonnie L. Barsky, MD)
- David Goldberg, DDS, Ms, P.C.
- David Kagan Medical Corporation SC
- Davis Chiropractic
- Christine Elizabeth Davis, LAC
- Scott Murray Davis, M.D.
- Anna Dorota Day
- Erica Dayan, M.D.
- Sunshine Mary C De la Cruz, RN
- Kimberly Kay Dean, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.