David James Davis, L.C.S.W.-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R034504-1 Issued in NY

Practice address

26 Conkey Avenue 5TH Floor
Box 136
Norwich, NY 13815-2711

Phone

(607) 334-5010

Fax

(607) 336-7326

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Davis and Nezelek Clinical Counseling

  • Clinical Social Worker
  • Sidney, NY
  • NPI 1851514178

  Clinical

  NPD (past)
• Seco Occupational Therapy PC

  • Occupational Therapist
  • Norwich, NY
  • NPI 1548220478
  NPD (past)
• Seco Physical & Occupational Therapy PLLC

  • Specialist
  • Sidney, NY
  • NPI 1992784797
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1740368232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24-26 CONKEY AVENUE",
            "address_2": "ROOM 308",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138152711",
            "telephone_number": "607-316-5823",
            "fax_number": "607-336-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CONKEY AVENUE 5TH FLOOR",
            "address_2": "BOX 136",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138152711",
            "telephone_number": "607-334-5010",
            "fax_number": "607-336-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R034504-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jane Cummings, FNP-C
• CWS Dental Clinic
• Stanley J Czarnecki, MD
• Karen M Dague, LCSW-R
• Amber Marie Davis, RN
• Jill Christine Davis, LPN
• Kevin B Decker, MD
• Delf O King MD PC
• Michael Anthony Dembik
• James Hamilton Dennis Jr.

• Clinical Social Worker in Norwich, NY
• Providers in Norwich, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.