Rene Patrice David, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15745 Issued in MD

Practice address

8468 Loch Raven Blvd
Towson, MD 21286-8122

Phone

(443) 415-8747

NPI assigned

Mar 7, 2011

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

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Cox Health & Human Services, LLC

  • Clinical Social Worker
  • Randallstown, MD
  • NPI 1598485260
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1760780308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8468 LOCH RAVEN BLVD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868122",
            "telephone_number": "443-415-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8468 LOCH RAVEN BLVD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868122",
            "telephone_number": "443-415-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "RENE",
        "middle_name": "PATRICE",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-07",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trina N Davenport
• David L Bloom PA
• David P. Boersma, M.D., L.L.C.
• David P. Boersma, M.D., L.L.C.
• David William Deveas DDS
• David'S Hope Therapeutic Services, LLC
• Bryce Canyon Davidson, PHARMD
• Linda Marie Davies, FNP-C
• Lynn B. Davies, MS, LCPC
• Davis G. Farvolden, M.D., LLC

• Clinical Social Worker in Towson, MD
• Providers in Towson, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.