Katie M Davis, LMSW
Individual provider Active NPI Clinical Social Worker · Eaton Rapids, MI
NPI 1770969719 · NPPES record last updated Jul 31, 2015
Key facts
- NPI
- 1770969719
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801093271 (MI)
- Practice address
- 1500 S Main St
Eaton Rapids, MI 48827-1952 - Phone
- (517) 663-2671
- Fax
- (517) 663-9436
- NPI assigned
- Jul 31, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801093271 | MI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801093271 | MI | Yes |
Addresses
Primary practice location
1500 S Main St
Eaton Rapids, MI 48827-1952
Mailing address
1500 S Main St
Eaton Rapids, MI 48827-1952
Phone (517) 663-2671
Other providers in Eaton Rapids, MI
- Central Pharmacy- Eaton Rapids, LLC
- Charis Kai Eleos LLC
- Khristina M Coker
- Denise Sue Colestock
- Michael Patrick Comer
- Mercedes Delgado
- Douglas Hoppe DDS PC
- Eaton Rapids Area Fire/EMS Services,Inc
- Eaton Rapids Chiropractic PSC
- Eaton Rapids Eye Care PC
All providers in Eaton Rapids, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.