Individual provider Active NPI

Madison Davis, LCSW

  • Clinical Social Worker
  • Nashville, TN
National Provider Identifier
1831687003
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7021 Issued in TN
Practice address
4901 Nolensville Pike
Nashville, TN 37211-5411
Phone
(615) 575-3783
Fax
(877) 259-8932
NPI assigned
Apr 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7530 KY
Clinical Social Worker 1041C0700X 34010519A IN
Clinical Social Worker 1041C0700X 253289 KY
Clinical Social Worker 1041C0700X 7021 TN Primary

Addresses

Primary practice location

4901 Nolensville Pike
Nashville, TN 37211-5411

Mailing address

4901 Nolensville Pike
Nashville, TN 37211-5411
Phone (615) 575-3783

Other identifiers 2

IdentifierTypeStateIssuer
7021OtherTNSTATE LICENSE
7100576570MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address madison.davis@centerwell.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, IN, KY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190624001342 TN Practitioner - Clinical Social Worker 0345574422 Reassigns benefits to 2 organizations
I20230818002878 IN Practitioner - Clinical Social Worker 0345574422 Reassigns benefits to 1 organization
I20230927002483 KY Practitioner - Clinical Social Worker 0345574422 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7021TNMDMental Health Counselor
7530KYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care TN PC Current Accepting new patients
Centerwell Senior Primary Care Ky PSC CurrentSince Aug 21, 2023 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Sep 9, 2023 Accepting new patients
Centerwell Senior Primary Care TN PC CurrentSince Mar 13, 2023 Accepting new patients
Centerwell Senior Primary Care Ky PSC Current Accepting new patients
Centerwell Senior Primary Care TN PC CurrentSince Mar 13, 2023 Accepting new patients
Centerwell Senior Primary Care (Ky) PSC CurrentSince Aug 21, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

4521 Outer Loop
Louisville, KY 40219
Phone (502) 653-5206

3151 S 2nd St
Louisville, KY 40208
Phone (502) 632-9313

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

4901 Nolensville Rd
Nashville, TN 37211
Phone (615) 760-5022

Interoperability endpoints

  • Direct secure messaging: madison.davis@centerwell.eclinicaldirectplus.com

Organizations & group practices 7

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": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1831687003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 NOLENSVILLE PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372115411",
            "telephone_number": "615-575-3783",
            "fax_number": "877-259-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 NOLENSVILLE PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372115411",
            "telephone_number": "615-575-3783",
            "fax_number": "877-259-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MADISON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "7530",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010519A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "253289",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "7021",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100576570",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "madison.davis@centerwell.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4901 Nolensville Pike",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372115411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.