Savannah Hollae Davis, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

106040 Issued in NY

Practice address

431 Aviation Rd
Queensbury, NY 12804-2914

Phone

(518) 917-2062

NPI assigned

Feb 19, 2019

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/10d65d12-0ecf-4613-84df-07c7c4f09ca4/

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.

• Warren Washington Association for Mental Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hudson Falls, NY
  • NPI 1073549796
  NPD (past)

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1821554577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 FIFTH ST EXT",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "12804",
            "telephone_number": "518-769-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 AVIATION RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128042914",
            "telephone_number": "518-917-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SAVANNAH",
        "middle_name": "HOLLAE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "106040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00106040",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David J. Sherrick D.D.S.,P.C.
• Deseree David
• Marcy D.W. Davidson, PT
• Gisela Davila, PHD
• Melissa Lynn Davis-Parker, RN
• Andrea M Dedona, PA
• Brianna Degregory, LCSW
• Laura Delay
• Catherine A Delsignore, MD
• Ronald Joseph Delsignore, D.M.D.

• Social Worker in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.