Melissa Sam Davis, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LSW0000008384 Issued in TN

Practice address

Corner of Veterans Way and Lamont Street
James H Quillen VA Medical Center
Mountain Home, TN 37684-4000

Phone

(423) 926-1171

NPI assigned

Sep 26, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa Sam Granger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1801147152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 MIDLAND DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376643044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF VETERANS WAY AND LAMONT STREET",
            "address_2": "JAMES H QUILLEN VA MEDICAL CENTER",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "376844000",
            "telephone_number": "423-926-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MELISSA",
        "middle_name": "SAM",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "LSW0000008384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "GRANGER",
            "middle_name": "SAM",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katelyn Cserjes, MD
• Della C Cutchins, PHARMD
• Richard Cutlip, PHARM.D.
• Hollie Stewart Davenport, LCSW
• Wilma Mae Davenport, L.C.S.W.
• Megan Day, FNP
• Donita Lynne Denton, S.W.
• Mark Alan Depew
• Melissa Dawn Deprimo, CRT
• Keith Joseph Devos, M.D.

• All providers in Mountain Home, TN
• Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.