Samantha L Davis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC17253 Issued in ME

Practice address

49 Florida Ave
Bangor, ME 04401-3005

Phone

(207) 299-1414

Fax

(207) 947-6278

NPI assigned

Aug 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1841666088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 FLORIDA AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013005",
            "telephone_number": "207-299-1414",
            "fax_number": "207-947-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 FLORIDA AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013005",
            "telephone_number": "207-299-1414",
            "fax_number": "207-947-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SAMANTHA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC15494",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC17253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Davis, LADC, CCS
• Megan L Davis
• Michelle Lynne Davis
• Rachel S Davis, DDS
• Sadel Davis, LCPC, M.ED.
• Wendy M Davis, LCSW
• Dawn Levasseur, LCPC, Inc.
• Lindsay Day, LCSW
• Lyndsay May Day
• Margaret Ann Day, LCSW

• Clinical Social Worker in Bangor, ME
• Providers in Bangor, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.