Individual provider Active NPI

Lindsey Davis, MSSW, LCSW

  • Social Worker
  • Burke, VA
National Provider Identifier
1750970430
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
M-11220 Issued in NM
Practice address
5244 Lyngate CT Ste 200
Burke, VA 22015-1631
Phone
(703) 910-2577
NPI assigned
Jan 15, 2021
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X M-11220 NM Primary

Addresses

Primary practice location

5244 Lyngate CT Ste 200
Burke, VA 22015-1631

Mailing address

5244 Lyngate CT Ste 200
Burke, VA 22015-1631
Phone (703) 910-2577

Other identifiers 2

IdentifierTypeStateIssuer
CSW.09931569OtherCOLCSW
8909OtherTNLCSW

Other names 1

  • Katie Davis Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 2, 2026 through Mar 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
M-11220NMMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1750970430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5244 LYNGATE CT STE 200",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151631",
            "telephone_number": "703-910-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5244 LYNGATE CT STE 200",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151631",
            "telephone_number": "703-910-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LINDSEY",
        "credential": "MSSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2025-09-11",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-11220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "CSW.09931569",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "8909",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "DAVIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burke, VA

Sources for this page

Verify at the official NPI Registry.