Individual provider Active NPI

Cynthia J Davis, MSW, LGSW

  • Social Worker
  • Montgomery, AL
National Provider Identifier
1851402416
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1090G Issued in AL
Practice address
215 Perry Hill Rd
Montgomery, AL 36109-3725
Phone
(334) 272-4670
Fax
(334) 725-2986
NPI assigned
Aug 31, 2006
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1090G AL Primary
Clinical Social Worker 1041C0700X 31627 MN

Addresses

Primary practice location

215 Perry Hill Rd
Montgomery, AL 36109-3725

Mailing address

420 E Sarnia St Ste 2100
Winona, MN 55987-6414
Phone (507) 454-4341

Other practice location 1

420 E Sarnia St Ste 2100
Winona, MN 55987-6414
Phone (507) 454-4341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20221220002080 MN Practitioner - Clinical Social Worker 6901275684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hiawatha Valley Mental Health Center IncGroup PAC ID 7113026998, 25 clinicians

Practice addresses (Care Compare)

420 E Sarnia St
Suite 2100
Winona, MN 55987-6414
Phone (507) 454-4341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1090GALMDSocial Worker
31627MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hiawatha Valley Mental Health Center Inc. CurrentSince Dec 19, 2022 Accepting new patients

Locations

611 Broadway Ave
Ste 100
Wabasha, MN 55981
Phone (651) 565-2234

420 E Sarnia St
Ste 2100
Winona, MN 55987
Phone (507) 454-4341

Organizations & group practices 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1851402416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E SARNIA ST STE 2100",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876414",
            "telephone_number": "507-454-4341",
            "fax_number": "507-453-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 PERRY HILL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361093725",
            "telephone_number": "334-272-4670",
            "fax_number": "334-725-2986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 E Sarnia St Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Winona",
            "state": "MN",
            "postal_code": "559876414",
            "country_code": "US",
            "telephone_number": "507-454-4341",
            "fax_number": "507-453-6267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CYNTHIA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MSW, LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "1090G",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "31627",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.