Louis Richard Davis, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

052857 Issued in NY

Practice address

417 E German St
Herkimer, NY 13350-1028

Phone

(315) 868-1000

Fax

(315) 866-3174

NPI assigned

Jun 23, 2020

Last updated

Jun 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cornerstone Herkimer

  • Clinical Social Worker
  • Herkimer, NY
  • NPI 1588100986
  NPD (past)
• Herkimer Cornerstone, LLC

  • Community/Behavioral Health Agency
  • Herkimer, NY
  • NPI 1700318615
  NPD (past)

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1780200949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 MAYBERRY RD",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405512",
            "telephone_number": "315-335-2328",
            "fax_number": "315-339-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 E GERMAN ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133501028",
            "telephone_number": "315-868-1000",
            "fax_number": "315-866-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LOUIS",
        "middle_name": "RICHARD",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "052857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.ConerstoneHerkimer.org",
            "affiliation": "N",
            "endpointDescription": "Mobile Counseling",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "417 E German St",
            "city": "Herkimer",
            "state": "NY",
            "country_code": "US",
            "postal_code": "133501028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Miriam P Curry, LCSWR
• Dale K Meyer
• Daniel G Herbowy (Foot Doctors)
• David P Jalowiec DC
• Annaliese Marie Davies
• Rachel R Decker
• Patricia Dedla
• Sarah Deegan, LMSW
• Victoria A. Delong
• Rachael Delsignore, LMSW

• Mental Health Counselor in Herkimer, NY
• Providers in Herkimer, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.