Crystal Harris Davis

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

2361 Startown Rd
Lincolnton, NC 28092-9524

Phone

(704) 735-1120

NPI assigned

Nov 15, 2023

Sex

Female

Sole proprietor

No

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.

• Kendrick Counseling & Consultant Agency PLLC

  • Clinical Social Worker
  • Gastonia, NC
  • NPI 1861216350

  Clinical

  NPD Authorized official
• The Groves Counseling Center

  • Mental Health Counselor
  • Gastonia, NC
  • NPI 1760939615
  NPD
• Gaston Family Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Lincolnton, NC
  • NPI 1124844576
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 2, 2026.

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1780459115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2361 STARTOWN RD",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280929524",
            "telephone_number": "704-735-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CRYSTAL",
        "middle_name": "HARRIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crowned With Confidence LLC
• Charles E. Crumley, M.D.
• David E Thome DDS PLLC I
• David E Thome DDS PLLC VI
• Brandy Cheyenne Davis
• Alyssa N. Dedmon, FNP
• Ronald Keith Dedmond, D.D.S.,P.A.
• Derrick W. Denman D.C. P.a.
• Kelly Lynn Dias, PT, DPT
• Marcy Dickey

• All providers in Lincolnton, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.