Individual provider Active NPI

Darnell Davis, LCSW

  • Clinical Social Worker
  • Wexford, PA
National Provider Identifier
1821737511
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW022663 Issued in PA
Practice address
12450 Perry Hwy
Wexford, PA 15090-7387
Phone
(724) 933-2961
Fax
(724) 933-4076
NPI assigned
Jun 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW022663 PA Primary

Addresses

Primary practice location

12450 Perry Hwy
Wexford, PA 15090-7387

Mailing address

12450 Perry Hwy
Wexford, PA 15090-7387
Phone (724) 933-2961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20220714003286 PA Practitioner - Clinical Social Worker 5890176309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Invision Customized ServicesGroup PAC ID 2769914811, 4 clinicians

Practice addresses (Care Compare)

12450 Perry Hwy
Suite 202
Wexford, PA 15090-7387
Phone (724) 933-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW022663PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Invision Customized Services CurrentSince Jul 29, 2024 Accepting new patients
Invision Integrated Behavioral Health Clinical CurrentSince Jun 1, 2022 Accepting new patients

Locations

12450 Perry Hwy
Ste 202
Wexford, PA 15090
Phone (724) 933-5100

12450 Perry Hwy
Wexford, PA 15090
Phone (724) 933-2961

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1821737511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12450 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907387",
            "telephone_number": "724-933-2961",
            "fax_number": "724-933-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12450 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907387",
            "telephone_number": "724-933-2961",
            "fax_number": "724-933-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DARNELL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.