Shameika Davis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C7987 Issued in MS

Practice address

517 Keywood Cir Ste 2B
Flowood, MS 39232-3054

Phone

(601) 559-1880

Fax

(601) 559-1852

NPI assigned

Oct 24, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Davis Therapeutic Services LLC

  • Community/Behavioral Health Agency
  • Flowood, MS
  • NPI 1073072013

  Clinical, MS

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1801308382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 KEYWOOD CIR STE 2B",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392323054",
            "telephone_number": "601-559-1880",
            "fax_number": "601-559-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 KEYWOOD CIR STE 2B",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392323054",
            "telephone_number": "601-559-1880",
            "fax_number": "601-559-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SHAMEIKA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C7987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chasity Davis, LCSW
• Jada K Davis, NP
• John D Davis IV, M.D.
• Lelouise Tindall Davis, FNP
• Martin Davis, LPC
• Wesley Young Davis, MS
• John Brandon Dawson III, O.D.
• Ladonna S Day, LCSW
• DCGM, Inc
• Joseph Alexander De Gruy, MD

• All providers in Flowood, MS
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.