Active NPI
Cynthia G. Davis, LCSW
- Clinical Social Worker
- Indianapolis, IN
National Provider Identifier
1750651907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34002798
- Practice address
- 5023 E 56TH St
110
Indianapolis, IN 46226-1474 - Phone
- (317) 253-7387
- Fax
- (317) 253-7388
- NPI assigned
- Jan 5, 2012
- Last updated
- Jan 5, 2012
- 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 | 34002798 | IN | Primary |
Addresses
Primary practice location
5023 E 56TH St
110
Indianapolis, IN 46226-1474
Mailing address
8026 Douglas Fir CT
Indianapolis, IN 46236-6500
Phone (317) 253-7387
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34002798 | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green House and Associates Inc | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325721600000",
"number": "1750651907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8026 DOUGLAS FIR CT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462366500",
"telephone_number": "317-253-7387",
"fax_number": "317-253-7388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5023 E 56TH ST",
"address_2": "110",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462261474",
"telephone_number": "317-253-7387",
"fax_number": "317-253-7388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CYNTHIA",
"middle_name": "G.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-05",
"last_updated": "2012-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34002798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.