Individual provider Active NPI

Carrie Lynn Frey-Davis, LCSW

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1841546116
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11229-C Issued in NV
Practice address
12551 Blazing Star Dr # 5301
Tampa, FL 33626-3069
Phone
(813) 785-9259
NPI assigned
Jul 24, 2012
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 119876 TX
Clinical Social Worker 1041C0700X LCSW22106 AZ
Clinical Social Worker 1041C0700X L15617 OR
Clinical Social Worker 1041C0700X LW61576671 WA
Clinical Social Worker 1041C0700X CW027814 PA
Clinical Social Worker 1041C0700X SW9585 FL
Clinical Social Worker 1041C0700X 122336 CA
Clinical Social Worker 1041C0700X 11229-C NV Primary

Addresses

Primary practice location

12551 Blazing Star Dr # 5301
Tampa, FL 33626-3069

Mailing address

2021 N Lemans Blvd
#5301
Tampa, FL 33607-1122
Phone (813) 785-9259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20161122001204 FL Practitioner - Clinical Social Worker 5395024921 Reassigns benefits to 1 organization
Practice locations: Holiday, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5250 Whippoorwill Dr
Sunshine Christian Home
Holiday, FL 34690-2100
Phone (813) 785-9259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW22106AZMDClinical Social Worker
122336CAMDClinical Social Worker
11229-CNVMDClinical Social Worker
L15617ORMDClinical Social Worker
CW027814PAMDClinical Social Worker
119876TXMDClinical Social Worker
LW61576671WAMDClinical Social Worker

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1841546116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 N LEMANS BLVD",
            "address_2": "#5301",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071122",
            "telephone_number": "813-785-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12551 BLAZING STAR DR # 5301",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263069",
            "telephone_number": "813-785-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY-DAVIS",
        "first_name": "CARRIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "119876",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW22106",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L15617",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61576671",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW027814",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9585",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "122336",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "11229-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.