Bobbie Davis, LCSW
Individual provider Active NPI Clinical Social Worker · Vincennes, IN
NPI 1790261998 · NPPES record last updated Mar 5, 2024
Key facts
- NPI
- 1790261998
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 34010996A (IN)
- Practice address
- 515 Bayou St
Vincennes, IN 47591-1034 - Phone
- (812) 886-6800
- Fax
- (812) 886-6809
- NPI assigned
- Jul 11, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240430000329 | IN | Practitioner - Clinical Social Worker | 1658711205 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Family Health Center, Inc. | Current |
Accepting new patients | |
| Good Samaritan Family Health Center, Inc | Current |
Accepting new patients | |
| Good Samaritan Family Health Center, Inc | Current | Accepting new patients | |
| Good Samaritan Family Health Center, Inc | Past | Accepting new patients |
Locations
10890 N State Road 159
Rm E20
Bicknell, IN 47512
Phone (812) 885-2720
7820 N Camp Arthur Rd
Fl 1
Bruceville, IN 47516
Phone (812) 885-2720
611 E Main St
Ste 110
Petersburg, IN 47567
Phone (812) 354-8426
300 N 1st St
Vincennes, IN 47591
Phone (812) 494-9510
1027 Washington Ave
Vincennes, IN 47591
Phone (812) 494-7500
2134 Washington Ave
Fl 3
Vincennes, IN 47591
Phone (812) 885-2720
2116 N 2nd St
Rm B1
Vincennes, IN 47591
Phone (812) 885-2720
1901 Willow St
Vincennes, IN 47591
Phone (812) 885-2720
1545 S Hart Street Rd
Fl 1
Vincennes, IN 47591
Phone (812) 885-8720
1027 Washington Ave
#B
Vincennes, IN 47591
Phone (812) 494-7500
1008 Upper 11th St
Rm 25
Vincennes, IN 47591
Phone (812) 885-2720
1513 Main St
Fl 3
Vincennes, IN 47591
Phone (812) 885-2720
515 Bayou St
Vincennes, IN 47591
Phone (812) 886-0907
2600 Wabash Ave
Rm 214
Vincennes, IN 47591
Phone (812) 885-8720
2007 State St
Washington, IN 47501
Phone (812) 254-1558
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34010996A | IN | Yes |
Addresses
Primary practice location
515 Bayou St
Vincennes, IN 47591-1034
Mailing address
PO Box 556
Vincennes, IN 47591-0556
Phone (812) 494-9501
Other providers in Vincennes, IN
- Erika Daniels
- Jordan L Daniels
- Eden Daugherty
- David P Grundman DPM
- Daviess County Hospital
- Brandee Davis
- Stephanie L Day-Keller
- Melissa Jean Day
- Sue Ann Day
- Deaconess Specialty Physicians, Inc
All providers in Vincennes, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.