Individual provider Active NPI

Renee Wilkinson Davis, LCSW, BACS

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1801096144
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3853 Issued in LA
Practice address
8235 YMCA Plaza Dr
Suite 401
Baton Rouge, LA 70810-0939
Phone
(225) 769-2533
Fax
(225) 769-2441
NPI assigned
Jul 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3853 LA Primary
Community/Behavioral Health Agency 251S00000X 3853 LA

Addresses

Primary practice location

8235 YMCA Plaza Dr
Suite 401
Baton Rouge, LA 70810-0939

Mailing address

8235 YMCA Plaza Dr
Suite 401
Baton Rouge, LA 70810-0939
Phone (225) 769-2533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3853LAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1801096144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 YMCA PLAZA DR",
            "address_2": "SUITE 401",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100939",
            "telephone_number": "225-769-2533",
            "fax_number": "225-769-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 YMCA PLAZA DR",
            "address_2": "SUITE 401",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100939",
            "telephone_number": "225-769-2533",
            "fax_number": "225-769-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON DAVIS",
        "first_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LCSW, BACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "3853",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "3853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.