Kenya T Davis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004865 Issued in NC

Practice address

2949 New Bern Ave Ste 107
Raleigh, NC 27610-1248

Phone

(919) 747-9843

Fax

(919) 747-9845

NPI assigned

Jul 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Low Vision Rehab Solutions, LLC

  • Occupational Therapist
  • Raleigh, NC
  • NPI 1205508363
  NPD

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1740215599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 JOANNE CIR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275135234",
            "telephone_number": "919-740-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 NEW BERN AVE STE 107",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101248",
            "telephone_number": "919-747-9843",
            "fax_number": "919-747-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KENYA",
        "middle_name": "T",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003349",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Roebuck Davis, LCSW, LCAS
• Jill Davis
• Josie Davis, LPN
• Kathryn Nichole Davis
• Kensleigh Davis, OTR/L, OTD
• Lachea Davis
• Lacresha Marsha Davis, MS,MSCM,LPC,LCAS,NCC
• Lakhendra Davis, LCMHCA
• Lamona Davis
• Leslianne Patricia Davis, LCSW, LCAS

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.