Marilyn Granville Davis, PH.D. , LCSW, PIP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2023C Issued in AL

Practice address

300 Royal Crest Dr Apt H106
Muscle Shoals, AL 35661-6457

Phone

(256) 483-3200

NPI assigned

Mar 31, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1750969754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ROYAL CREST DR APT H106",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356616457",
            "telephone_number": "256-483-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ROYAL CREST DR APT H106",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356616457",
            "telephone_number": "256-483-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARILYN",
        "middle_name": "GRANVILLE",
        "name_prefix": "Dr.",
        "credential": "PH.D. , LCSW, PIP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "2023C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya Darby
• Brian Anthony Davenport, CRNP
• Hayley Jean Davenport, CRNP
• Claudette M Davis, CRNP
• James Herschel Davis, LPTA
• Stacy Davis, ANCC
• Wendy Danielle Davis, CRNP
• Desselle Surgical Clinic, LLC
• Wesley Joseph Desselle, MD
• Diabetes and Wellness Clinic of the Shoals

• Clinical Social Worker in Muscle Shoals, AL
• Providers in Muscle Shoals, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.

Verify at the official NPI Registry.