Active NPI
Lilian Davis, LSW
- Social Worker
- Greenwood, IN
National Provider Identifier
1760247753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 33011075A
- Practice address
- 390 N Madison Ave
Greenwood, IN 46142-2300 - Phone
- (812) 727-4505
- NPI assigned
- Feb 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 33011075A | IN | Primary |
Addresses
Primary practice location
390 N Madison Ave
Greenwood, IN 46142-2300
Mailing address
3400 S Sare Rd Apt 121
Bloomington, IN 47401-8028
Phone (765) 341-6202
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33011075A | IN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebecca Waletich LCSW LLC | Current | 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 and National Provider Directory roles.
-
dba Transformations Counseling Services
- Clinical Social Worker
- Indianapolis, IN
- NPI 1063884617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1760247753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 S SARE RD APT 121",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474018028",
"telephone_number": "765-341-6202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 N MADISON AVE",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461422300",
"telephone_number": "812-727-4505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LILIAN",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-19",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33011075A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.